Safety and economic analysis of the EasyEndo disposable endoscopic cutting and stapling device for VATS lobectomy or segmentectomy in lung cancer patients: a retrospective study

ObjectiveThe aim of this retrospective study was to investigate the safety and economic aspects of using the EasyEndo disposable endoscopic cutting and stapling device for video-assisted thoracoscopic surgery (VATS) lobectomy or segmentectomy in patients with lung cancer. The choice between the two...

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Main Authors: Ziyang Han, Jieming Lu, Shuchen Chen, Shaobin Yu, Peipei Zhang, Mingqiang Kang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1247450/full
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author Ziyang Han
Ziyang Han
Ziyang Han
Jieming Lu
Shuchen Chen
Shuchen Chen
Shuchen Chen
Shuchen Chen
Shaobin Yu
Shaobin Yu
Shaobin Yu
Peipei Zhang
Mingqiang Kang
Mingqiang Kang
Mingqiang Kang
Mingqiang Kang
author_facet Ziyang Han
Ziyang Han
Ziyang Han
Jieming Lu
Shuchen Chen
Shuchen Chen
Shuchen Chen
Shuchen Chen
Shaobin Yu
Shaobin Yu
Shaobin Yu
Peipei Zhang
Mingqiang Kang
Mingqiang Kang
Mingqiang Kang
Mingqiang Kang
author_sort Ziyang Han
collection DOAJ
description ObjectiveThe aim of this retrospective study was to investigate the safety and economic aspects of using the EasyEndo disposable endoscopic cutting and stapling device for video-assisted thoracoscopic surgery (VATS) lobectomy or segmentectomy in patients with lung cancer. The choice between the two staplers was influenced by changes in our hospital’s procurement policy; Johnson EC45A was used before January 2022 and was then replaced by the EasyEndo stapler.MethodsWe reviewed and analyzed consecutive patients with lung cancer who underwent VATS segmentectomy from March 2021 to December 2022. Inclusion criteria included patients with suspected non-small cell lung cancer (NSCLC) who were eligible for surgical resection. The surgical procedures were performed using either the EasyEndo or Johnson EC45A staplers. Intraoperative variables, postoperative outcomes, and cost analysis were compared between the two groups.ResultsA total of 1556 patients were included in the study, with 775 patients in the Control group and 781 patients in the EasyEndo group. There were no significant differences in patient characteristics between the two groups. Intraoperative variables, including blood loss, blood transfusion, and operation time, showed no significant differences between the groups. Postoperative outcomes, such as hospital stay, drainage tube placement time, and incidence of complications, were also comparable between the two groups. However, there was a significant difference in the cost of stapler usage, with the EasyEndo group showing a lower cost compared to the Control group.ConclusionThe EasyEndo disposable endoscopic cutting and stapling device demonstrated comparable safety and effectiveness to the Johnson EC45A stapler in VATS segmentectomy for lung cancer patients. Moreover, the use of the EasyEndo stapler resulted in cost savings, indicating its potential economic benefits for healthcare institutions.
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spelling doaj.art-16f94f1511c147c4ac85355998cde2672023-08-31T20:20:39ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-08-011310.3389/fonc.2023.12474501247450Safety and economic analysis of the EasyEndo disposable endoscopic cutting and stapling device for VATS lobectomy or segmentectomy in lung cancer patients: a retrospective studyZiyang Han0Ziyang Han1Ziyang Han2Jieming Lu3Shuchen Chen4Shuchen Chen5Shuchen Chen6Shuchen Chen7Shaobin Yu8Shaobin Yu9Shaobin Yu10Peipei Zhang11Mingqiang Kang12Mingqiang Kang13Mingqiang Kang14Mingqiang Kang15Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, ChinaKey Laboratory of Cardio-Thoracic Surgery (Fujian Medical University), Fuzhou, ChinaKey Laboratory of Gastrointestinal Cancer (Fujian Medical University), Ministry of Education, Fuzhou, ChinaDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, ChinaDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, ChinaKey Laboratory of Cardio-Thoracic Surgery (Fujian Medical University), Fuzhou, ChinaKey Laboratory of Gastrointestinal Cancer (Fujian Medical University), Ministry of Education, Fuzhou, ChinaFujian Key Laboratory of Tumor Microbiology, Department of Medical Microbiology, Fujian Medical University, Fuzhou, ChinaDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, ChinaKey Laboratory of Cardio-Thoracic Surgery (Fujian Medical University), Fuzhou, ChinaKey Laboratory of Gastrointestinal Cancer (Fujian Medical University), Ministry of Education, Fuzhou, ChinaDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, ChinaDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, ChinaKey Laboratory of Cardio-Thoracic Surgery (Fujian Medical University), Fuzhou, ChinaKey Laboratory of Gastrointestinal Cancer (Fujian Medical University), Ministry of Education, Fuzhou, ChinaFujian Key Laboratory of Tumor Microbiology, Department of Medical Microbiology, Fujian Medical University, Fuzhou, ChinaObjectiveThe aim of this retrospective study was to investigate the safety and economic aspects of using the EasyEndo disposable endoscopic cutting and stapling device for video-assisted thoracoscopic surgery (VATS) lobectomy or segmentectomy in patients with lung cancer. The choice between the two staplers was influenced by changes in our hospital’s procurement policy; Johnson EC45A was used before January 2022 and was then replaced by the EasyEndo stapler.MethodsWe reviewed and analyzed consecutive patients with lung cancer who underwent VATS segmentectomy from March 2021 to December 2022. Inclusion criteria included patients with suspected non-small cell lung cancer (NSCLC) who were eligible for surgical resection. The surgical procedures were performed using either the EasyEndo or Johnson EC45A staplers. Intraoperative variables, postoperative outcomes, and cost analysis were compared between the two groups.ResultsA total of 1556 patients were included in the study, with 775 patients in the Control group and 781 patients in the EasyEndo group. There were no significant differences in patient characteristics between the two groups. Intraoperative variables, including blood loss, blood transfusion, and operation time, showed no significant differences between the groups. Postoperative outcomes, such as hospital stay, drainage tube placement time, and incidence of complications, were also comparable between the two groups. However, there was a significant difference in the cost of stapler usage, with the EasyEndo group showing a lower cost compared to the Control group.ConclusionThe EasyEndo disposable endoscopic cutting and stapling device demonstrated comparable safety and effectiveness to the Johnson EC45A stapler in VATS segmentectomy for lung cancer patients. Moreover, the use of the EasyEndo stapler resulted in cost savings, indicating its potential economic benefits for healthcare institutions.https://www.frontiersin.org/articles/10.3389/fonc.2023.1247450/fulllung cancervideo-assisted thoracoscopic surgeryEasyEndostaplersafetyeconomic analysis
spellingShingle Ziyang Han
Ziyang Han
Ziyang Han
Jieming Lu
Shuchen Chen
Shuchen Chen
Shuchen Chen
Shuchen Chen
Shaobin Yu
Shaobin Yu
Shaobin Yu
Peipei Zhang
Mingqiang Kang
Mingqiang Kang
Mingqiang Kang
Mingqiang Kang
Safety and economic analysis of the EasyEndo disposable endoscopic cutting and stapling device for VATS lobectomy or segmentectomy in lung cancer patients: a retrospective study
Frontiers in Oncology
lung cancer
video-assisted thoracoscopic surgery
EasyEndo
stapler
safety
economic analysis
title Safety and economic analysis of the EasyEndo disposable endoscopic cutting and stapling device for VATS lobectomy or segmentectomy in lung cancer patients: a retrospective study
title_full Safety and economic analysis of the EasyEndo disposable endoscopic cutting and stapling device for VATS lobectomy or segmentectomy in lung cancer patients: a retrospective study
title_fullStr Safety and economic analysis of the EasyEndo disposable endoscopic cutting and stapling device for VATS lobectomy or segmentectomy in lung cancer patients: a retrospective study
title_full_unstemmed Safety and economic analysis of the EasyEndo disposable endoscopic cutting and stapling device for VATS lobectomy or segmentectomy in lung cancer patients: a retrospective study
title_short Safety and economic analysis of the EasyEndo disposable endoscopic cutting and stapling device for VATS lobectomy or segmentectomy in lung cancer patients: a retrospective study
title_sort safety and economic analysis of the easyendo disposable endoscopic cutting and stapling device for vats lobectomy or segmentectomy in lung cancer patients a retrospective study
topic lung cancer
video-assisted thoracoscopic surgery
EasyEndo
stapler
safety
economic analysis
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1247450/full
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