The Impact of Endoscopic Linear Stapling Device Stability in Thoracic Surgery: A Delphi Panel Approach

**Objectives:** To develop consensus statements outlining the impact of endoscopic linear stapling device stability on potential complications of thoracic surgery and the stress/concern of thoracic surgeons. **Methods:** Eight thoracic surgeons representing 8 countries participated in a Delphi pane...

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Main Authors: Daniel Miller, Diego Gonzalez Rivas, Kellie L. Meyer, Ryan S. Clark, Tadasu Kohno
Format: Article
Language:English
Published: Columbia Data Analytics, LLC 2016-10-01
Series:Journal of Health Economics and Outcomes Research
Online Access:https://doi.org/10.36469/9843
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author Daniel Miller
Diego Gonzalez Rivas
Kellie L. Meyer
Ryan S. Clark
Tadasu Kohno
author_facet Daniel Miller
Diego Gonzalez Rivas
Kellie L. Meyer
Ryan S. Clark
Tadasu Kohno
author_sort Daniel Miller
collection DOAJ
description **Objectives:** To develop consensus statements outlining the impact of endoscopic linear stapling device stability on potential complications of thoracic surgery and the stress/concern of thoracic surgeons. **Methods:** Eight thoracic surgeons representing 8 countries participated in a Delphi panel process using 2 anonymous surveys. The first included binary, multiple-response, and Likert scale-type questions, which were converted into affirmative statements for survey 2 if an adequate number of respondents answered similarly. Consensus was defined a priori when ≥70% agreed with the affirmative statement in survey 2. **Results:** All panelists completed both surveys. Panelists unanimously agreed that: 1) an endoscopic linear stapling device with improved stability would result in less stress/concern for critical firings, surgeries where a fellow is trained, and robot-assisted surgeries requiring an assistant; 2) reduced unintentional tissue/structure damage and reduced tension on tissue being fired upon may result from use of an endoscopic linear stapling device that provides improvement in stability; and 3) endoscopic linear stapling device stability had more clinical importance in video-assisted thoracic surgery compared to open thoracic surgery. **Conclusions:** Improved endoscopic linear stapling device stability is a critical component of thoracic surgery likely to result in more frequent positive surgical outcomes when compared to a device with greater instability.
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spelling doaj-art-bb5d5c4f76254f72bd5395169aa66cbe2025-02-10T16:12:39ZengColumbia Data Analytics, LLCJournal of Health Economics and Outcomes Research2327-22362016-10-0131The Impact of Endoscopic Linear Stapling Device Stability in Thoracic Surgery: A Delphi Panel ApproachDaniel MillerDiego Gonzalez RivasKellie L. MeyerRyan S. ClarkTadasu Kohno**Objectives:** To develop consensus statements outlining the impact of endoscopic linear stapling device stability on potential complications of thoracic surgery and the stress/concern of thoracic surgeons. **Methods:** Eight thoracic surgeons representing 8 countries participated in a Delphi panel process using 2 anonymous surveys. The first included binary, multiple-response, and Likert scale-type questions, which were converted into affirmative statements for survey 2 if an adequate number of respondents answered similarly. Consensus was defined a priori when ≥70% agreed with the affirmative statement in survey 2. **Results:** All panelists completed both surveys. Panelists unanimously agreed that: 1) an endoscopic linear stapling device with improved stability would result in less stress/concern for critical firings, surgeries where a fellow is trained, and robot-assisted surgeries requiring an assistant; 2) reduced unintentional tissue/structure damage and reduced tension on tissue being fired upon may result from use of an endoscopic linear stapling device that provides improvement in stability; and 3) endoscopic linear stapling device stability had more clinical importance in video-assisted thoracic surgery compared to open thoracic surgery. **Conclusions:** Improved endoscopic linear stapling device stability is a critical component of thoracic surgery likely to result in more frequent positive surgical outcomes when compared to a device with greater instability.https://doi.org/10.36469/9843
spellingShingle Daniel Miller
Diego Gonzalez Rivas
Kellie L. Meyer
Ryan S. Clark
Tadasu Kohno
The Impact of Endoscopic Linear Stapling Device Stability in Thoracic Surgery: A Delphi Panel Approach
Journal of Health Economics and Outcomes Research
title The Impact of Endoscopic Linear Stapling Device Stability in Thoracic Surgery: A Delphi Panel Approach
title_full The Impact of Endoscopic Linear Stapling Device Stability in Thoracic Surgery: A Delphi Panel Approach
title_fullStr The Impact of Endoscopic Linear Stapling Device Stability in Thoracic Surgery: A Delphi Panel Approach
title_full_unstemmed The Impact of Endoscopic Linear Stapling Device Stability in Thoracic Surgery: A Delphi Panel Approach
title_short The Impact of Endoscopic Linear Stapling Device Stability in Thoracic Surgery: A Delphi Panel Approach
title_sort impact of endoscopic linear stapling device stability in thoracic surgery a delphi panel approach
url https://doi.org/10.36469/9843
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