The safety and efficacy of clipping the staple line in laparoscopic sleeve gastrectomy: A retrospective cohort study

S. Alshammari, Abdulaziz H. Mulhem, Abdullah Jafar, Hesham Alghofili, Doaa Maher, Elham Alobaid, A. Aldohayan
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Abstract

Background: Obesity is a worldwide health problem and is of particular importance in Saudi Arabia, where there is a high incidence of the disease. There are many surgical procedures for its management, including laparoscopic sleeve gastrectomy (LSG). However, this procedure has postoperative complications such as bleeding and leakage. Patients and Methods: This retrospective cohort study included all patients who underwent LSG at King Khalid University Hospital under one surgeon from July 2015 to May 2018. The 146 patients were divided into a clipping group (n = 72) who underwent LSG with clipping of the staple line, and a nonclipping group (n = 74) who underwent LSG without clipping of the staple line. The incidence of postoperative complications, including bleeding and leak, was compared in the two groups. Results: There was no statistically significant difference between the two groups regarding patient demographic criteria or risk factors for postoperative complications. In addition, there was no statistically significant difference between the two groups in postoperative bleeding (P = 1) or leak (P = 0.324). Conclusion: Clipping the staple line in LSG does not affect the rate of postoperative leaking or bleeding.
腹腔镜袖式胃切除术中夹钉线的安全性和有效性:一项回顾性队列研究
背景:肥胖是一个全球性的健康问题,在沙特阿拉伯尤其重要,因为沙特阿拉伯的肥胖发病率很高。有许多外科手术治疗,包括腹腔镜袖胃切除术(LSG)。然而,这种手术有术后并发症,如出血和渗漏。患者和方法:这项回顾性队列研究纳入了2015年7月至2018年5月在哈立德国王大学医院由一名外科医生进行的LSG手术的所有患者。146例患者被分为剪断组(n = 72)和非剪断组(n = 74),剪断后行LSG,剪断后行LSG。比较两组患者术后出血、渗漏等并发症的发生率。结果:两组在患者人口学标准和术后并发症危险因素方面无统计学差异。两组术后出血(P = 1)、渗漏(P = 0.324)差异无统计学意义。结论:剪短短钉线对LSG术后漏血率无影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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