Laparoscopic sleeve gastrectomy: surgical technique, indications and clinical results.

Abstract:

BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) has been introduced as a multipurpose restrictive procedure for obese patients. Variations of the surgical technique may be important for the late results. METHODS:50 patients submitted to LSG from January 2005 to December 2006 were studied. Mean age was 38.2 years, preoperative weight was 103.4 +/- 14.1 kg (78 to 146 kg), and preoperative BMI was 37.9 +/- 3.4 (32.9 to 46.8). Important co-morbidities were present in 39 patients (78%). RESULTS:Operative time was 110 +/- 15 min. Intraoperative difficulties were observed in 7 patients. Volume of the resected specimen was 760 +/- 55 ml and capacity of the gastric remnant was 108.5 +/- 25 ml. There was no conversion to open surgery. Histology of the resected stomach was normal in 8 patients, while chronic gastritis was found in 42 patients. At 6 and 12 months postoperatively, weight loss was 28.0 +/- 6.4 kg and 32.6 +/- 6.8 kg respectively. In the 18 patients who have reached 1 year follow-up, % excess BMI loss reached 85 +/- 0.7%. Most of the medical diseases associated with the obesity resolved after 6 to 12 months. CONCLUSION:LSG may be an acceptable operation. It is easy to perform, safe, and has a lower complication rate than other bariatric operations. Further studies are necessary for the clinical results at long-term follow-up.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Braghetto I,Korn O,Valladares H,Gutiérrez L,Csendes A,Debandi A,Castillo J,Rodríguez A,Burgos AM,Brunet L

doi

10.1007/s11695-008-9421-2

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

1442-50

issue

11

eissn

0960-8923

issn

1708-0428

journal_volume

17

pub_type

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