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Open Access 01-03-2018 | How I Do It

Stapleless Laparoscopic Sleeve Gastrectomy: Reasoning and Technical Insights

Authors: Matteo Catanzano, Lisa Grundy, Mohamed Bekheit

Published in: Obesity Surgery | Issue 3/2018

Abstract

Background

Laparoscopic sleeve gastrectomy (LSG) with staple line reinforcement (SLR) is a popular and safe treatment option for morbid obesity. We have developed, devised, and described our own method of stapleless laparoscopic sleeve gastrectomy, which in our limited study appeared safe, efficacious, and potentially cost-effective.

Methods

We analyzed the outcome of our modified LSG in a case series of three middle-aged women (median age 42 years old). Our main modification was sutured closure of the stomach rather than the commonly utilized technique of stapled closure. Our primary measure of success was the occurrence of post-operative leak. Secondary measures were (a) length of operation, (b) duration of inpatient stay, and (c) percentage of weight loss at 6 and 12 months post operation.

Results

Median operative time = 132 min (120–195 min), and median inpatient stays were 2 days. No post-operative leaks were recorded. The median excess weight loss at 6 months was 39% of initial weight loss and 57.7% at 12 months.

Conclusions

Stapleless LSG has the potential to be an affordable alternative to the traditional LSG. High-powered studies and a formal cost analysis are required.

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Title: Stapleless Laparoscopic Sleeve Gastrectomy: Reasoning and Technical Insights
Authors: Matteo Catanzano
Lisa Grundy
Mohamed Bekheit
Publication date: 01-03-2018
Publisher: Springer US
Published in: Obesity Surgery / Issue 3/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-017-3058-y

ACC 2024 Congress

Springer Medicine

Stapleless Laparoscopic Sleeve Gastrectomy: Reasoning and Technical Insights

Abstract

Background

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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