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

Kong Han Ser, Wei Jei Lee, Yi Chih Lee, Jung Chien Chen, Yen Hao Su, Shu Chun Chen

Research output: Contribution to journalArticle

69 Citations (Scopus)

Abstract

Background: Laparoscopic sleeve gastrectomy (LSG) is a promising procedure for the surgical treatment of morbid obesity. We report our 2-year experience with LSG and specifically evaluate the importance of staple-line protection to prevent leakage after the laparoscopic procedure. Methods: One hundred eighteen consecutive patients with BMI > 30 who underwent LSG from January 2006 to February 2009 were included in our study. There were 88 women and 30 men with a mean age of 33.2 ± 9.6 years and a mean BMI of 38.0 ± 6.4 kg/m2. The first 40 patients (group 1) underwent the operation without any reinforcement procedure and the other 78 patients received reinforcement of the staple-line (group 2). Data including demographics, hospital stay, blood loss, operative time, complications, excess weight loss percentage (EWL%), and gastrointestinal quality of life index (GIQLI) were collected prospectively for evaluation. Results: The overall mean operative time was 118.5 ± 37.0 min, mean blood loss was 56.8 ± 56.7 ml, mean hospital stay was 5 ± 3 days. The mean EWL% at 12 and 24 months was 81.5 and 76.0%, respectively. The overall leakage rate was 3.39% (4/118). All leakage occurred in group 1 patients, with a leakage rate of 10% (4/40). Mean preoperative GIQLI was 98.7, and the postoperative GIQLI were 116.4, 115, 112.4, and 97.6 at 3, 6, 12, and 24 months, respectively. Conclusions: LSG is an effective obesity treatment to achieve significant weight loss after 24 months. Staple-line reinforcement is strongly recommended for laparoscopic sleeve gastrectomy to decrease complications.

Original languageEnglish
Pages (from-to)2253-2259
Number of pages7
JournalSurgical Endoscopy and Other Interventional Techniques
Volume24
Issue number9
DOIs
Publication statusPublished - Sep 2010
Externally publishedYes

Fingerprint

Gastrectomy
Weight Loss
Quality of Life
Operative Time
Length of Stay
Morbid Obesity
Obesity
Demography
Therapeutics

Keywords

  • Bariatric surgery
  • Laparoscopic sleeve gastrectomy
  • Obesity surgery
  • Staple-line leakage

ASJC Scopus subject areas

  • Surgery

Cite this

Experience in laparoscopic sleeve gastrectomy for morbidly obese Taiwanese : Staple-line reinforcement is important for preventing leakage. / Ser, Kong Han; Lee, Wei Jei; Lee, Yi Chih; Chen, Jung Chien; Su, Yen Hao; Chen, Shu Chun.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 24, No. 9, 09.2010, p. 2253-2259.

Research output: Contribution to journalArticle

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abstract = "Background: Laparoscopic sleeve gastrectomy (LSG) is a promising procedure for the surgical treatment of morbid obesity. We report our 2-year experience with LSG and specifically evaluate the importance of staple-line protection to prevent leakage after the laparoscopic procedure. Methods: One hundred eighteen consecutive patients with BMI > 30 who underwent LSG from January 2006 to February 2009 were included in our study. There were 88 women and 30 men with a mean age of 33.2 ± 9.6 years and a mean BMI of 38.0 ± 6.4 kg/m2. The first 40 patients (group 1) underwent the operation without any reinforcement procedure and the other 78 patients received reinforcement of the staple-line (group 2). Data including demographics, hospital stay, blood loss, operative time, complications, excess weight loss percentage (EWL{\%}), and gastrointestinal quality of life index (GIQLI) were collected prospectively for evaluation. Results: The overall mean operative time was 118.5 ± 37.0 min, mean blood loss was 56.8 ± 56.7 ml, mean hospital stay was 5 ± 3 days. The mean EWL{\%} at 12 and 24 months was 81.5 and 76.0{\%}, respectively. The overall leakage rate was 3.39{\%} (4/118). All leakage occurred in group 1 patients, with a leakage rate of 10{\%} (4/40). Mean preoperative GIQLI was 98.7, and the postoperative GIQLI were 116.4, 115, 112.4, and 97.6 at 3, 6, 12, and 24 months, respectively. Conclusions: LSG is an effective obesity treatment to achieve significant weight loss after 24 months. Staple-line reinforcement is strongly recommended for laparoscopic sleeve gastrectomy to decrease complications.",
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AU - Lee, Wei Jei

AU - Lee, Yi Chih

AU - Chen, Jung Chien

AU - Su, Yen Hao

AU - Chen, Shu Chun

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N2 - Background: Laparoscopic sleeve gastrectomy (LSG) is a promising procedure for the surgical treatment of morbid obesity. We report our 2-year experience with LSG and specifically evaluate the importance of staple-line protection to prevent leakage after the laparoscopic procedure. Methods: One hundred eighteen consecutive patients with BMI > 30 who underwent LSG from January 2006 to February 2009 were included in our study. There were 88 women and 30 men with a mean age of 33.2 ± 9.6 years and a mean BMI of 38.0 ± 6.4 kg/m2. The first 40 patients (group 1) underwent the operation without any reinforcement procedure and the other 78 patients received reinforcement of the staple-line (group 2). Data including demographics, hospital stay, blood loss, operative time, complications, excess weight loss percentage (EWL%), and gastrointestinal quality of life index (GIQLI) were collected prospectively for evaluation. Results: The overall mean operative time was 118.5 ± 37.0 min, mean blood loss was 56.8 ± 56.7 ml, mean hospital stay was 5 ± 3 days. The mean EWL% at 12 and 24 months was 81.5 and 76.0%, respectively. The overall leakage rate was 3.39% (4/118). All leakage occurred in group 1 patients, with a leakage rate of 10% (4/40). Mean preoperative GIQLI was 98.7, and the postoperative GIQLI were 116.4, 115, 112.4, and 97.6 at 3, 6, 12, and 24 months, respectively. Conclusions: LSG is an effective obesity treatment to achieve significant weight loss after 24 months. Staple-line reinforcement is strongly recommended for laparoscopic sleeve gastrectomy to decrease complications.

AB - Background: Laparoscopic sleeve gastrectomy (LSG) is a promising procedure for the surgical treatment of morbid obesity. We report our 2-year experience with LSG and specifically evaluate the importance of staple-line protection to prevent leakage after the laparoscopic procedure. Methods: One hundred eighteen consecutive patients with BMI > 30 who underwent LSG from January 2006 to February 2009 were included in our study. There were 88 women and 30 men with a mean age of 33.2 ± 9.6 years and a mean BMI of 38.0 ± 6.4 kg/m2. The first 40 patients (group 1) underwent the operation without any reinforcement procedure and the other 78 patients received reinforcement of the staple-line (group 2). Data including demographics, hospital stay, blood loss, operative time, complications, excess weight loss percentage (EWL%), and gastrointestinal quality of life index (GIQLI) were collected prospectively for evaluation. Results: The overall mean operative time was 118.5 ± 37.0 min, mean blood loss was 56.8 ± 56.7 ml, mean hospital stay was 5 ± 3 days. The mean EWL% at 12 and 24 months was 81.5 and 76.0%, respectively. The overall leakage rate was 3.39% (4/118). All leakage occurred in group 1 patients, with a leakage rate of 10% (4/40). Mean preoperative GIQLI was 98.7, and the postoperative GIQLI were 116.4, 115, 112.4, and 97.6 at 3, 6, 12, and 24 months, respectively. Conclusions: LSG is an effective obesity treatment to achieve significant weight loss after 24 months. Staple-line reinforcement is strongly recommended for laparoscopic sleeve gastrectomy to decrease complications.

KW - Bariatric surgery

KW - Laparoscopic sleeve gastrectomy

KW - Obesity surgery

KW - Staple-line leakage

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