Does Omentopexy Make a Difference in Laparoscopic Sleeve Gastrectomy for Obesity Treatment? A Systematic Review and Meta-Analysis.

Autor: Mohamedahmed, Ali Yasen Y., Hamid, Mohammed, Zaman, Shafquat, Abdalla, Hashim E., Wuheb, Ali Ahmed, Khan, Amir, Parmar, Jitesh
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Zdroj: Obesity Surgery; Jan2024, Vol. 34 Issue 1, p218-235, 18p
Abstrakt: This systematic review and meta-analysis aimed to evaluate the comparative outcomes of laparoscopic sleeve gastrectomy with omentopexy (LSGO) versus conventional laparoscopic sleeve gastrectomy (LSG) for obesity treatment. A systematic online search was conducted using the available online databases, and Revman software was used for data analysis. Twenty-two eligible comparative studies were included (n = 9,321). LSGO showed a significantly lower rate of gastric leak (P = 0.0001), staple line bleeding (P = 0.00001), and gastric torsion (P = 0.002) in comparison to the LSG group. Operative time was significantly shorter in the LSG group (P = 0.00001); however, the length of hospital stay was in favour of the LSGO (P = 0.00001). Compared to LSG without omentopexy, LSG with omentopexy provides a significantly lower rate of postoperative complications and shorter LOS at the expense of operative time. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index