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Surgical Endoscopy
Published in: Surgical Endoscopy 12/2023

Open Access 27-10-2023 | Sleeve Gastrectomy

A comparative study between staple line reinforcement during laparoscopic sleeve gastrectomy and no reinforcement: an Egyptian experience

Authors: Mohamed Abdul Moneim Amin El Masry, Mohamed Sabry Attia

Published in: Surgical Endoscopy | Issue 12/2023

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Abstract

Background

Laparoscopic sleeve gastrectomy (LSG) has become an increasingly popular bariatric procedure. LSG still conveys some risks, including early staple line complications such as bleeding and leaks. It has been proposed that staple line complications can be reduced by staple line reinforcement (SLR). This study aimed to compare the short-term efficacy and safety of the SLR during LSG by oversewing versus no SLR in an Egyptian cohort over a period of 11 years.

Patients and methods

This is a retrospective study that analyzed data from patients undergoing LSG by the same surgeon over a period of 11 years. The patients’ early postoperative complications were compared according to performing SLR.

Results

The SLR group showed significantly longer surgery time (p = 0.021) and a lower rate of postoperative bleeding (p = 0.027). All leakage cases occurred in the non-SLR group (0.7% vs. 0.0%) without statistical significance (p = 0.212). The two mortality cases occurred in the non-SLR group. The LOS was comparable in the two groups (p = 0.289).

Conclusion

This study confirms the short-term benefits of SLR by oversewing during LSG in terms of a lower incidence of 30-day morbidity, particularly bleeding, and lower rates of reoperation, with a clinically questionable longer operation time.
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Metadata
Title
A comparative study between staple line reinforcement during laparoscopic sleeve gastrectomy and no reinforcement: an Egyptian experience
Authors
Mohamed Abdul Moneim Amin El Masry
Mohamed Sabry Attia
Publication date
27-10-2023
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 12/2023
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-023-10497-w

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