Posterior fixation of gastric tube with fibrin sealant in laparoscopic sleeve gastrectomy: a promising method to prevent revision surgeries.

Autor: Kizilkaya MC; Acıbadem University Atakent Hospital, Department of General Surgery, Istanbul, Turkey. mehmet.kizilkaya@acibadem.com., Gokay R; Luleburgaz State Hospital, Kırklareli, Turkey., Mutlu AU; Acıbadem University Atakent Hospital, Department of General Surgery, Istanbul, Turkey., Sonmez S; University of Health Sciences Istanbul Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey., Yilmaz S; University of Health Sciences Istanbul Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey., Kocatas A; University of Health Sciences Istanbul Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey., Saracoglu C; Acıbadem University Atakent Hospital, Department of General Surgery, Istanbul, Turkey., Aytac E; Acıbadem University Atakent Hospital, Department of General Surgery, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: Langenbeck's archives of surgery [Langenbecks Arch Surg] 2024 Feb 14; Vol. 409 (1), pp. 60. Date of Electronic Publication: 2024 Feb 14.
DOI: 10.1007/s00423-024-03253-8
Abstrakt: Background: We aim to assess the effects of gastric posterior fixation with fibrin sealant in laparoscopic sleeve gastrectomy in aspects of 12th-month body mass index and gastric volume.
Methods: The patients who underwent laparoscopic sleeve gastrectomy between January 2019 and February 2021 were divided into two groups preoperatively. The first 75 patients were appointed to the posterior fixation group, and the second 75 were to the control group. Changes in gastric volume and body mass index were assessed in the postoperative 12th month.
Results: There were 110 patients in the final analysis. Fifty-four patients had posterior fixation, and 56 had only laparoscopic sleeve gastrectomy. The posterior fixation group was superior in terms of total weight loss rate (39.1% vs. 34.5%, p<0.001) and less gastric volume increase rate (39.8% vs. 164.7%, p<0.001) in the postoperative 12th month.
Conclusion: Our study suggests that posterior fixation with fibrin sealant in laparoscopic sleeve gastrectomy is a promising method for preventing weight regain and creating a need for revision surgery.
(© 2024. The Author(s).)
Databáze: MEDLINE
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