Risk factors for complications of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass
| Autor: | Piotr Major, Magdalena Pisarska, Michał Wysocki, Michał Pędziwiatr, Andrzej Budzyński, Piotr Małczak, Jadwiga Dworak |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Sleeve gastrectomy medicine.medical_specialty medicine.medical_treatment Operative Time Gastric bypass Gastric Bypass 030209 endocrinology & metabolism Body Mass Index 03 medical and health sciences Postoperative Complications 0302 clinical medicine Gastrectomy Risk Factors Surgical Stapling medicine Humans Adverse effect Retrospective Studies Laparoscopic sleeve gastrectomy business.industry General surgery General Medicine Perioperative Roux-en-Y anastomosis Surgery Increased risk Operative time Female Laparoscopy 030211 gastroenterology & hepatology business |
| Zdroj: | International Journal of Surgery. 37:71-78 |
| ISSN: | 1743-9191 |
| Popis: | Background Although bariatric procedures are considered safe, yet still they involve a risk of possible perioperative complications. Identification of risk factors for complications would allow for appropriate preoperative optimization of the patient, as well as reasonable postoperative care and early diagnosis and treatment of possible complications. The aim of this study was to determine the risk factors for perioperative complications after laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). Material and methods A retrospective analysis of prospectively collected data of patients operated for morbid obesity. Regarding postoperative complications defined as adverse events occurring within 30 days of the procedure. Factors associated with patient characteristics and those related to the surgical procedure were determined. 408 patients met inclusion criteria and were submitted to surgical treatment. LSG and LRYGB were performed in 233 and 175 patients, respectively. Results Complications were observed in 30 (7.3%) patients. The maximum preoperative body weight and BMI, as well as body weight and BMI on the day of surgery were associated with increased complication rate. The type of the procedure did not influence perioperative complications (LRYGB vs. LSG; OR: 1.14; CI: 0.53–2.44; p = 0.74). Although operative time statistically significantly increased the risk of complications, it did not seem clinically relevant (OR: 1.01; CI: 1.00–1.02; p = 0.003). An increase in the number of stapler firings used significantly increased complication rate only in LSG group. Conclusion Longer duration of LSG and the increase in the number of stapler firings used during LSG should alert a surgeon to an increased risk of postoperative complications. In patients submitted to LRYGB the risk of possible complications increases with BMI. |
| Databáze: | OpenAIRE |
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