Laparoscopic Sleeve Gastrectomy – a Retrospective Review of 250 Cases

  • André Goulart Hospital de Braga
  • Cláudio Branco Hospital de Braga
  • Fernando Manso Hospital de Braga
  • Maria Pereira Hospital de Braga
  • Aline Fernandes Hospital de Braga
  • Diana Carvalho
  • Pedro Leão Hospital de Braga
  • José Maia da Costa Hospital de Braga

Abstract

Introduction: Vertical calibrated gastrectomy, usually know as “gastric sleeve” (SG) by laparoscopy, is a promising technique for the surgical treatment of obesity. In this study, we present the results of our surgical center with this surgical procedure, compared them with other published studies and analyzed its impact on weight loss evolution. Material and methods: Observational retrospective  study of 250 SG. Surgeries were included independently of being primary SG or redo surgery. The weight evolution data was analyzed only in patients submitted to SG as a primary bariatric procedure. Results: We found a mean operative time of 119 minutes, conversion to laparotomy in 2,0% of patients. Global 30-days morbidity of 15,6%, mostly minor complications (10,8%). Two surgical-related deaths (0,8%). The readmission rate was 9,2% and the reintervention rate was 5,6%. An anastomotic leak occurred in 2,8% of the patients. Mean pre-operative BMI was 44,6kg/m2 and the percentage of excess weight loss at one and two years after surgery was 78,5% and 81,5% respectively. Discussion: The results presented in this study are similar to those published in other case series when it comes to mean age, complications and laparotomy conversion rates. The observed weight loss was sustained throughout the follow-up period and was similar to that observed in other studies of both gastric sleeve and gastric by-pass. Conclusion: The results of this study support the validity of the use of gastric sleeve in the surgical treatment of morbid obesity as a good technical option.

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Author Biographies

André Goulart, Hospital de Braga

Assistente Hospitalar do Serviço de Cirurgia Geral

Hospital de Braga

Cláudio Branco, Hospital de Braga

Assistente Hospitalar Graduado do Serviço de Cirurgia Geral

Hospital de Braga

Fernando Manso, Hospital de Braga

Assistente Hospitalar Graduado do Serviço de Cirurgia Geral

Hospital de Braga

Maria Pereira, Hospital de Braga

Assistente Hospitalar do Serviço de Endocrinologia

Hospital de Braga

Aline Fernandes, Hospital de Braga

Nutricionista

Hospital de Braga

Diana Carvalho

Licenciada em Nutrição

Pedro Leão, Hospital de Braga

Assistente Hospitalar do Serviço de Cirurgia Geral – Hospital de Braga

Instituto de Investigação em Ciências da Vida e da Saúde, Universidade do Minho

ICVS/3B's – Laboratório Associado Braga/Guimarães, Universidade do Minho

 

 

José Maia da Costa, Hospital de Braga

Assistente Hospitalar Graduado do Serviço de Cirurgia Geral

Hospital de Braga

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Published
2017-09-30
How to Cite
GOULART, André et al. Laparoscopic Sleeve Gastrectomy – a Retrospective Review of 250 Cases. Revista Portuguesa de Cirurgia, [S.l.], n. 42, p. 7 -16, sep. 2017. ISSN 2183-1165. Available at: <https://revista.spcir.com/index.php/spcir/article/view/444>. Date accessed: 24 apr. 2024.
Section
Original Papers