The Effect of Liver Size on Early Postoperative Complications in Patients Undergoing Laparoscopic Sleeve Gastrectomy.

IF 1.1 4区 医学 Q3 SURGERY
Uğur Özsoy, Murat Yildirim, Bulent Koca, Alı Ihsan Saglam, Ali Genç, Namik Ozkan
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Abstract

Aim: The aim of the study was to show whether the complications of hepatomegaly increase in patients undergoing LSG. Material Method: This study was designed as a retrospective study. LSG surgeries performed between 2014 and 2024 were examined. Complications were determined by examining blood test results, radiological images, and epicrisis information. Complications were classified according to the Clavian-Dindo classification. The patients were divided into two groups according to the presence of hepatomegaly. Groups were compared according to complications. Results: The study was conducted with a total of 972 patients. Of the patients, 303 (31.1%) were male and 669 (68.8%) were female. The mean age was 37.7 years (range: 18-65). Of all patients, 623 (64%) had hepatomegaly, and 349 (36%) had normal liver size. In the hepatomegaly group, 26 patients had major complications, while 3 patients in the non-hepatomegaly group had them. It was found that major complications were significantly higher in the hepatomegaly group compared to the non-hepatomegaly group (P < .05). Minor complications were observed in 129 patients in the hepatomegaly group and 66 patients in the non-hepatomegaly group. The difference between the two groups for the minor complications was not significant (P > .05).In addition, the average surgery duration and hospital stay were statistically significantly higher in the hepatomegaly group (P < .05). Conclusions: Hepatomegaly significantly increases the major complications after LSG.

肝大小对腹腔镜袖式胃切除术早期并发症的影响。
目的:本研究的目的是显示肝切除术患者肝肿大并发症是否增加。材料方法:本研究设计为回顾性研究。对2014年至2024年间进行的LSG手术进行了检查。通过检查血液检查结果、放射图像和外溢信息来确定并发症。并发症按照Clavian-Dindo分类进行分类。根据有无肝肿大分为两组。根据并发症情况对两组进行比较。结果:本研究共纳入972例患者。其中男性303例(31.1%),女性669例(68.8%)。平均年龄37.7岁(18 ~ 65岁)。在所有患者中,623例(64%)肝肿大,349例(36%)肝大小正常。肝肿大组26例出现严重并发症,非肝肿大组3例出现严重并发症。肝肿大组主要并发症发生率明显高于非肝肿大组(P < 0.05)。肝肿大组129例,非肝肿大组66例出现轻微并发症。两组轻微并发症比较差异无统计学意义(P < 0.05)。肝肿大组平均手术时间和住院时间均高于肝肿大组(P < 0.05)。结论:肝肿大明显增加LSG术后主要并发症。
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
163
审稿时长
3 months
期刊介绍: Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.
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