Proximal Leakage After Laparoscopic Sleeve Gastrectomy: an Analysis of Preoperative and Operative Predictors on 1738 Consecutive Procedures
| Autor: | Stefano Piero Bernardo Cioffi, Bruno Scotto, Francesca Ciccarese, Riccardo Giorgi, Stefano Olmi, Giovanni Cesana, Matteo Uccelli, Giorgio Castello, Roberta Villa |
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| Přispěvatelé: | Cesana, G., Cioffi, S., Giorgi, R., Villa, R., Uccelli, M., Ciccarese, F., Castello, G., Scotto, B., Olmi, S. |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Leak Multivariate analysis Adolescent Endocrinology Diabetes and Metabolism Fistula Operative Time 030209 endocrinology & metabolism Anastomotic Leak Sleeve Surgeon experience 03 medical and health sciences Young Adult 0302 clinical medicine Suture (anatomy) Gastrectomy Risk Factors Surgical Stapling Medicine Humans Aged Retrospective Studies Reinforce Univariate analysis Nutrition and Dietetics Sutures business.industry Incidence (epidemiology) General surgery Stomach Middle Aged Pylorus medicine.disease Prognosis Surgery Obesity Morbid medicine.anatomical_structure Preoperative Period 030211 gastroenterology & hepatology Female Laparoscopy business Leakage Cohort study Predictor |
| Zdroj: | Obesity surgery. 28(3) |
| ISSN: | 1708-0428 |
| Popis: | Background: The purpose of this paper was to search for predictive factors for proximal leakage after laparoscopic sleeve gastrectomy (LSG) in a large cohort from a single referral center. Materials and Methods: One thousand seven hundred and thirty-eight patients, collected in a prospectively held database from 2008 to 2016, were retrospectively analyzed. The correlation between postoperative leakage and both preoperative (age, gender, height, weight, BMI, and obesity-related morbidities) and operative variables (the distance from pylorus at which the gastric section was started, operative time, experience of surgeons who performed the LSG, and the surgical materials used) was analyzed. The experience of the surgeons was calculated in the number of LSGs performed. The surgical materials considered were stapler, cartridges, and reinforcement of the suture. Results: Proximal leakage was observed in 45 patients out of 1738 (2.6%). No correlation was found between leakage and the preoperative variables analyzed. The operative variables that were found to be associated with lower incidence of leakage at the multivariate analysis (p |
| Databáze: | OpenAIRE |
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