Laparoscopic sleeve gastrectomy without over-sewing of the staple line is effective and safe

Mojmir Kasalicky; Radek Dolezel; Eva Vernerova; Martin Haluzik

doi:10.5114/wiitm.2014.40387

!!!NEW!!! CLINICAL FORUM !!!NEW!!!
to make the quarterly livelier and more beneficial for doctors and scientists !!!

On June the 1st, 2021 VSJ launches a new discussion platform in the journal.

We invite all MIS surgeons to rapidly submit for publication:
- small forms describing unusual clinical situations related to their practice,
- short clinical comments relating to any publications in VSJ, including the clinical situations described above
- brief communications of original studies deserving fast publication
- your personal opinions as part of a larger discussion on the VSJ publication
- letters concerning the topics described above

Clinical Forum gives you a means of rapid presentation of your findings in the medical databases, scientific citations on the international forum, and also an Impact Factor!

For further details, see: Instructions for Authors

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

1/2014
vol. 9

Send email

Copy url:

abstract:

Original paper

Laparoscopic sleeve gastrectomy without over-sewing of the staple line is effective and safe

Mojmir Kasalicky

,

Radek Dolezel

,

Eva Vernerova

,

Martin Haluzik

Videosurgery Miniinv 2014; 9 (1): 46–52

DOI: https://doi.org/10.5114/wiitm.2014.40387

Online publish date: 2014/01/30

View full text Get citation

PlumX metrics:

Introduction: Laparoscopic sleeve gastrectomy (LSG) is a bariatric procedure with very good long-term weight-reducing and metabolic effects.

Aim: Here we report 6 years’ experience with LSG performed in morbidly obese patients by one surgical team focusing on the impact of the degree of sleeve restriction and safety of the procedure without over-sewing the staple line.

Material and methods: From 2006 to 2012, 207 morbid obese patients with average age of 43.4 years and average body mass index 44.9 kg/m2 underwent LSG without over-sewing the staple line. The complete 5- and 3-year follow-up is recorded in 59 and 117 patients with prospective data collection at 3, 6, 9, 12, 18, 24, 36, 42 and 60 months after LSG. Group 1 patients operated in 2006–2008 had smaller sleeve restriction. Group 2 patients operated in 2009–2012 had major sleeve restriction. All procedures were performed without over-sewing of the staple line.

Results: The average %EBMIL (excess body mass index loss) in group 1 patients with minor sleeve restriction reached 54.1% and average %EWL (excess weight loss) was 50.8% while in group 2 with major sleeve restriction the average %EBMIL reached 69.7% and average %EWL was 66.8%. Final weight reduction was significantly higher in group 2 patients compared to group 1 patients with smaller sleeve restriction. Out of 49 patients with preoperatively diagnosed T2DM (type 2 diabetes mellitus) was completely resolved in 70.8%. Pre-operatively diagnosed hypertension normalized in 64.2%, improved in 23.2%, and remained unchanged in 12.6% of patients.

Conclusions: Carefully performed LSG without over-sewing the staple line is feasible and safe. A better weight-reducing effect was present in patients with major sleeve restriction.

keywords:

Laparoscopic sleeve gastrectomy without over-sewing of the staple line is effective and safe

Mojmir Kasalicky , Radek Dolezel , Eva Vernerova , Martin Haluzik

morbid obesity, laparoscopic sleeve gastrectomy, diabetes, staple line

Mojmir Kasalicky

,

Radek Dolezel

,

Eva Vernerova

,

Martin Haluzik