Complications of postlaparoscopic sleeve gastric resection: Review of surgical technique
| Autor: | Giovanni Cianca, Gianfranco Amicucci, Ilaria Puccica, Lucia Romano, Mario Schietroma, Andrea Salvatorelli, Eleonora Papale, Marino Di Furia, Antonio Giuliani |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Gastric Fistula Male medicine.medical_specialty Leak Fistula Operative Time Anastomotic Leak Very frequent 03 medical and health sciences 0302 clinical medicine Suture (anatomy) Weight loss Gastrectomy Surgical Stapling medicine Bariatric surgery Laparoscopy Bariatric Surgery Female Humans Retrospective Studies medicine.diagnostic_test business.industry Incidence (epidemiology) Retrospective cohort study medicine.disease Surgery 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology medicine.symptom business |
| Popis: | Background Laparoscopic sleeve gastrectomy (LSG) has become a very frequent procedure in bariatric surgery. Despite its simplicity, it can have serious complications. Among these, gastric leak is one of the most feared complications. Numerous intraoperative maneuvers have been suggested in an attempt to decrease the incidence of leak. In our center, we decided to study one of the intraoperative measures proposed, which consists in positioning the suture machine to 1.5 cm from His corner. Methods This retrospective study reported 101 cases of LSG performed in our center from 2012 to 2017. The patients were divided into two groups, with comparable anthropometric parameters and comparable inclusion criteria. In the two groups the operative technique used was the same, except for a maneuver: in the second group, attention was paid to keep a distance from the angle of at least 1.5 cm. Results On a total of 101 procedures performed, the overall complication rate was 4,95%. In group 1 the rate of gastric staple line leak was 6.78%. In group 2 the rate was 2.38%. Conclusions The analyzed surgical technique seems to decrease the risk of leak without significantly impacting weight loss, and we have noticed in our clinical experience a decrease in the incidence of fistula from the time this measure was adopted. Also the statistical analysis encourage the continuation of experimentation. |
| Databáze: | OpenAIRE |
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