Decreasing complication rates for one-stage conversion band to laparoscopic sleeve gastrectomy: A retrospective cohort study
| Autor: | Fabio Garofalo, Omar Abouzahr, Ronald Denis, Simon L. Bacon, Radu Pescarus, Henri Atlas, Naif AlEnazi, Pierre Y. Garneau |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
lcsh:Surgery 03 medical and health sciences 0302 clinical medicine Weight loss Chart review Laparoscopic adjustable gastric banding Medicine revisional surgery lcsh:RC799-869 Laparoscopic sleeve gastrectomy business.industry One stage Retrospective cohort study lcsh:RD1-811 Surgery morbid obesity 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology lcsh:Diseases of the digestive system. Gastroenterology Original Article medicine.symptom laparoscopic sleeve gastrectomy business Complication Body mass index |
| Zdroj: | Journal of Minimal Access Surgery Journal of Minimal Access Surgery, Vol 16, Iss 3, Pp 264-268 (2020) |
| ISSN: | 1998-3921 0972-9941 |
| Popis: | Background: Laparoscopic adjustable gastric banding (LAGB) revision surgery is often necessary because of its high failure rate. The objective of this study was to demonstrate that better patient selection, when converting a failed LAGB to a laparoscopic sleeve gastrectomy (LSG) as a one-stage revision procedure, is safe, feasible and improves the complication rate. Patients and Methods: A retrospective chart review was performed on patients who underwent a one-stage conversion of failed gastric banding to a LSG. Collected data included age, sex, body mass index (BMI), intraoperative complications, length of stay and post-operative complications. The results were compared to a previous study of 90 cases of LSG as a revision procedure for failed LAGB. Results: There were 75 patients in the current study, 61 women and 14 men, aged 25–67 (average: 46), with a mean BMI of 45 kg/m2 (32–66). Seventy patients (93.3%) were operated for insufficient weight loss and 5 patients (6.7%) for intolerance to the band. In our previous study, 35 patients (39%) were operated for slippage, erosion or obstruction and 14 (15.6%) had post-operative complications as opposed to only 4 patients (5.3%) in this series (P = 0.0359). Gastric leak also improved to 1.3% compared to 5.5% previously. Average hospitalisation time was 2.5 days (1–40). Conclusions: Rigorous patient selection, without band complications such as slippage, erosion or obstruction, allows for a significantly lower rate of operative complications for a one-stage conversion of failed gastric banding to a LSG. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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