Laparoscopic Sleeve Gastrectomy for Morbid Obesity in 3003 Patients: Results at a High-Volume Bariatric Center View Full Text


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Article Info

DATE

2016-09

AUTHORS

Nasser Sakran, Asnat Raziel, Orly Goitein, Amir Szold, David Goitein

ABSTRACT

BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is gaining wide acceptance as a single surgical treatment for obesity. The reported morbidity and mortality rates are low. We herein report the results of LSG performed in a high-volume center by an experienced team. METHODS: Retrospective analysis of a prospectively maintained database of all bariatric surgery (BS) was performed between May 2006 and December 2014. Data inspected included operative time, length of hospital stay (LOS), comorbidity resolution, re-operation, percent excess weight loss (%EWL), and 30-day morbidity and mortality. RESULTS: In the study period, 3003 patients underwent BS (1901 (63 %) female). Mean age and body mass index (BMI) were 43 years (range 14-73) and 42.8 kg/m(2) (range 35-73), respectively. %EWL at 1 year was 72 % (n = 937; 57 % follow-up rate). There was 1 perioperative mortality due to bleeding (0.03 %). Comorbidity improvement and resolution were 98 % for obstructive sleep apnea, 79 % for diabetes mellitus, 87 % for dyslipidemia, and 85 % for hypertension. Mean operative time and LOS were 50 min (range 32-94) and 2.2 days (range 1-38), respectively. Of the patients, 132 had complications (4.4 %), 25 leaks (0.83 %), 63 bleeding (2.1 %), 1 intra-abdominal abscesses (0.03 %), 3 sleeve strictures (0.1 %), 2 mesenteric vein thromboses (0.06 %), 10 trocar site hernias (0.3 %), and 78 symptomatic cholelithiasis (2.6 %). Re-operation was needed in 13 patients (0.43 %). CONCLUSION: In a high-volume center with an experienced team, LSG can be performed with low morbidity and mortality. More... »

PAGES

2045-2050

References to SciGraph publications

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  • 2011-06. Routine Abdominal Drains after Laparoscopic Sleeve Gastrectomy: A Retrospective Review of 353 Patients in OBESITY SURGERY
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  • 2016-03. Intraoperative leak testing has no correlation with leak after laparoscopic sleeve gastrectomy in SURGICAL ENDOSCOPY
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  • 2009-11. Scintigraphic Evaluation of Gastric Emptying in Obese Patients Submitted to Sleeve Gastrectomy Compared to Normal Subjects in OBESITY SURGERY
  • 2011-11. Thirty-day Mortality After Bariatric Surgery: Independently Adjudicated Causes of Death in the Longitudinal Assessment of Bariatric Surgery in OBESITY SURGERY
  • 2013-01. Gastric leaks after sleeve gastrectomy: a multicenter experience with 2,834 patients in SURGICAL ENDOSCOPY
  • 2013-04. Metabolic/Bariatric Surgery Worldwide 2011 in OBESITY SURGERY
  • 2010-09. Gastric Leak After Laparoscopic Sleeve Gastrectomy in OBESITY SURGERY
  • 2009-05. Results of Sleeve Gastrectomy—Data from a Nationwide Survey on Bariatric Surgery in Germany in OBESITY SURGERY
  • 2005-09. Laparoscopic Sleeve Gastrectomy: A Multi-purpose Bariatric Operation in OBESITY SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11695-016-2063-x

    DOI

    http://dx.doi.org/10.1007/s11695-016-2063-x

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1051234332

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/26757919


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