Laparoscopic Sleeve Gastrectomy with Minimal Morbidity Early Results in 120 Morbidly Obese Patients

Abstract

The good early results obtained with the above-outlined surgical technique in 120 consecutive patients undergoing LSG indicate that it is a safe and effective procedure for morbid obesity. However, long-term results are still pending.

Experience in laparoscopic sleeve gastrectomy for morbidly obese Taiwanese: staple-line reinforcement is important for preventing leakage

“…Several commercial products such as bovine pericardial strips (BPS), absorbable polymer membranes (APM), or fibrin sealants developed for staple-line protection have been reported to be helpful in the prevention of staple-line complications such as hemorrhage and leakage, but such products may be expensive [19,23,24]. We used 3-0 Vicryl for staple-line seroserosal reinforcement in our series and had results similar to those of the aforementioned products in perioperative preservation of the staple line.…”

Laparoscopic sleeve gastrectomy: Technique and results

“…Cottam et al [24] 2006 126 65.3 12 46 Hamoui et al [5] 2006 118 55 24 47.3 Lee et al [21] 2007 216 49 24 59 Nocca et al [20] 2007 163 45.9 24 61.5 Weiner et al [13] 2007 120 60.7 60 NR Yang O et al [8] 2008 138 50.6 24 46 Parikh et al [12] 2008 135 60.1 12 47.3 Felberbauer et al [18] 2008 126 48.1 19 NR Rubin et al [15] 2008 120 43.5 11 NR Fuks et al [24] 2009 135 48.8 12 49.4 Stroh et al [25] 2009 144 54.5 24 NR Bobowicz et al [26] 2011 112 44.6 22 46.6 Chopra et al [9] 2011 174 48.9 36 58.9 Rawlins et al [27] 2012 49 65 60 86 Catheline et al [28] 2013 45 49.1 60 50.7 Sieber et al [29] 2013 54 43 60 57.4 Zachariah et al [10] 2013 228 37.4 60 63.7 Bellows et al [30] 2014 63 51.8 17 47.2 Boza et al [22] 2014 161 34.9 60 62.9 the size of bougies is one of the important factors contributing to durable weight loss. [11,34] The other important point to the weight loss outcome after LSG might be the changes in the plasma levels of ghrelin.…”

Weight Regain After Sleeve Gastrectomy.

“…Laparoscopic sleeve gastrectomy is also being used rather it has revolutionized the procedure and has further served to decrease the risk of per-operating complications and risks. Minor procedural errors can also be reduced and high level of precision can be achieved through laparoscopic surgical procedures (Rubin et al, 2008). Advantages of laparoscopic sleeve gastrectomy also include marked decrees in plasma ghrelin levels, Ghrelin is a growth hormone and is controlled by hypothalamus (Kojima et al, 1999).…”