{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T10:33:12Z","timestamp":1793269992124,"version":"4.5.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Cedars-Sinai Medical Center","id":[{"id":"https:\/\/ror.org\/02pammg90","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study aims to evaluate clinical and economic outcomes of using different ultrasonic energy devices in patients undergoing sleeve gastrectomy (SG).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The patient cohort was extracted from PINC AI\u2122 Healthcare Data 2019\u20132023, including individuals aged\u2009\u2265\u200918 who underwent primary elective gastric sleeve procedures using either corded (CD) or cordless (CL) ultrasonic devices (UD). Two analysis groups were evaluated: total SG regardless of the - stapler brand used in the operation (Cohort I), and UD used with an identifiable same-brand stapler in the operation (Cohort II). A propensity score matching (PSM) method with a caliper of 0.2 and 1:1 nearest-neighbor matching was performed for patients who used CD and CL. We applied multivariable generalized linear model (GLM) analyses for sensitivity analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      24160 and 18906 patients were included for cohorts I (82.3% CD and 17.7% CL; 4268 PSM paired) and II (81.7% CD and 18.3% CL; 3282 PSM paired), respectively. CD had higher operating-room time (minutes) than CL in both Cohort I (mean difference: 27 (95% confidence interval (CI): (24, 29),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and II (27 (24, 30),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). There is no difference in incidence rates of blood transfusion, bleeding, and 30-day readmission, and total inpatient cost and length of stay between CD and CL. The sensitivity analyses showed similar results.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study shows that CL had similar clinical and economic outcomes to CD, and CL was more efficient in patients treated with sleeve gastrectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Points<\/jats:title>\n                    <jats:p>\u2022 Cordless ultrasonic devices were more efficient when used in sleeve gastrectomy.<\/jats:p>\n                    <jats:p>\u2022 Outcomes of sleeve gastrectomy used cordless\/corded ultrasonic device were similar.<\/jats:p>\n                    <jats:p>\u2022 Resource use of cordless\/corded ultrasonic device was similar in sleeve gastrectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11695-026-08892-y","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:46:54Z","timestamp":1787017614000},"page":"5173-5182","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Clinical Effectiveness and Operating Efficiency of Different Ultrasonic Devices for Performance of Sleeve Gastrectomy"],"prefix":"10.1007","volume":"36","author":[{"given":"Monali","family":"Misra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I-Wen","family":"Pan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zasim Azhar","family":"Siddiqui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Bisceglie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Kroh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"issue":"12","key":"8892_CR1","doi-asserted-by":"publisher","first-page":"1521","DOI":"10.18203\/2320-1770.ijrcog20231258","volume":"5","author":"AD Raj","year":"2023","unstructured":"Raj AD, BCR, Fatima SA. 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This study was determined exempt from full board review by Sterling IRB.","order":1,"name":"Ethics","label":"Ethics Approval and Consent to Participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for Publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"MM received consulting fees from Medtronic, plc. IP, ZAS, and FB are Medtronic employees and stockholders. MK is CMO of Medtronic, Advisory Board for Endolumik and Kintsugi.","order":3,"name":"Ethics","label":"Competing Interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}