Analysis of the effect of staple line reinforcement on leaking and bleeding after sleeve gastrectomy from the UK National Bariatric Surgery Registry.

Autor: Niaz O; Bedfordshire Hospitals NHS Foundation Trust, Luton, UK., Askari A; Bedfordshire Hospitals NHS Foundation Trust, Luton, UK., Currie A; University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK., McGlone ER; Imperial College London, London, UK., Zakeri R; University College London, London, UK., Khan O; St Georges University Hospitals NHS Foundation Trust, London, UK., Welbourn R; Somerset NHS Foundation Trust, Taunton, UK., Pring C; St Richards Hospital, Chichester, West Sussex, UK., Small P; Sunderland Royal Hospital, Sunderland, UK., Al-Taan O; Bedfordshire Hospitals NHS Foundation Trust, Luton, UK., Mahawar K; South Tyneside and Sunderland NHS Foundation Trust, South Shields, UK., Mamidanna R; Lewisham and Greenwich NHS Trust, London, UK.
Jazyk: angličtina
Zdroj: World journal of surgery [World J Surg] 2024 Aug; Vol. 48 (8), pp. 1950-1957. Date of Electronic Publication: 2024 Jul 03.
DOI: 10.1002/wjs.12271
Abstrakt: Introduction: Sleeve gastrectomy (SG) is currently the most frequently performed procedure for obesity worldwide. Staple line reinforcement (SLR) has been suggested as a strategy to reduce the risk of staple line leak or bleeding; however, its use for SG in the United Kingdom (UK) is unknown. This study examined the effect of SLR on the development of postoperative complications from SG using a large national dataset from the UK.
Methods: Patients undergoing either primary or revision SG over 10 years from Jan 2012 to Dec 2021 were identified by the National Bariatric Surgery Registry. Comparative and logistic regression analyses were undertaken to determine the effect of SLR on staple line leak and bleeding.
Results: During this time, 14,231 patients underwent SG for whom there were complete data. Of these, 76.5% were female and the median age was 46 years (IQR: 36-53). The rate of surgical complications was 2.3% (n = 219/14,231). The incidence of bleeding was 1.3% (n = 179/14,231) and leak was 1.0% (n = 140/14,231). Over time, the use of SLR of any variety declined significantly from 99.7% in 2012 to 57.3% in 2021 (p < 0.001). Multivariable (adjusted) regression analysis demonstrated that neither the use of nor the type of reinforcement had any effect on the rate of bleeding or leaking.
Conclusion: SLR for SG has declined in the UK since 2012. There were no differences in staple line leak or bleed with or without reinforcement.
(© 2024 International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).)
Databáze: MEDLINE
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