Annali italiani di chirurgia最新文献

{"title":"Effect of Fast-Track Surgery Based on Nutritional Support in the Rehabilitation of Patients Undergoing Radical Thyroidectomy and Lateral Lymphadenectomy: A Retrospective Analysis.","authors":"Cheng Chen, Xuemei Dong, Shoupeng Zhang, Jun Wu, Junling Zhu","doi":"10.62713/aic.3764","DOIUrl":"10.62713/aic.3764","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to investigate the impact of fast-track surgery (FTS), based on nutritional support, on postoperative rehabilitation and nutritional status in patients undergoing radical thyroidectomy and lateral lymphadenectomy.</p><p><strong>Methods: </strong>This retrospective study included 112 patients who underwent radical thyroid cancer surgery and lateral neck lymph node dissection at Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, between April 2021 and April 2023. Based on various nursing methods, patients were divided into two groups, with 58 patients included in the observation group (FTS care based on nutritional support), and 54 patients in the control group (routine perioperative care). Postoperative clinical indicators, nutritional status, Quality of Life, associated complications, and follow-up outcomes at 3 and 12 months were compared between the two groups.</p><p><strong>Results: </strong>Patients in the observation group showed significantly shorter meal times, hospital stays, and off-bed time compared to the control group (p < 0.05). After three months of intervention, the observation group had higher body weight, muscle mass, and body fat, and lower Nutritional Risk Screening (NRS) scores compared to the control group (p < 0.05). At the 12-month follow-up, the observation group had better nutritional status indicators than the control group (p < 0.05). Furthermore, the observation group exhibited higher Quality of Life scores (p < 0.001) and reduced incidence of delayed complications (p < 0.05). During the three-month follow-up, the observation group demonstrated higher Quality of Life Questionnaire Core 30 (QLQ-C30) score compared to the control group (p < 0.05). Additionally, the overall incidence of complications was significantly lower in the observation group (p < 0.05).</p><p><strong>Conclusions: </strong>FTS nursing based on nutritional support effectively promotes postoperative recovery, improves nutritional status, and enhances Quality of Life in patients following radical thyroidectomy and lateral lymphadenectomy, which is worthy of being widely popularized.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 1","pages":"29-39"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrieval of Entrapped Embolic Protection Device during Carotid Artery Stenting: A Case Report.","authors":"Gaoyang Fan, Wenyuan Ma, Chunhai Su, Lei Feng, Wenwen Guo","doi":"10.62713/aic.3501","DOIUrl":"10.62713/aic.3501","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to report a rare case of an embolization protection device (EPD) entrapment during Carotid Artery Stent (CAS) and to discuss the management strategy, including open surgery and concurrent carotid endarterectomy (CEA).</p><p><strong>Case presentation: </strong>A 71-year-old female presented with left limb weakness and unclear speech following CAS. Imaging revealed a new cerebral infarction and right internal carotid artery stenosis. The patient underwent endovascular retrieval of the entrapped EPD, which failed, leading to an emergency open surgical procedure.</p><p><strong>Results: </strong>The surgical approach involved a longitudinal incision along the anterior border of the right sternocleidomastoid muscle, followed by carotid artery exposure and temporal artery clamps application. The entrapped EPD and stent were successfully retrieved, and the thrombus was aspirated. Subsequent endarterectomy removed the stenotic plaque, and meticulous washing cleared the carotid arteries. Post-operative indocyanine green fluorescence angiography confirmed patency of the arteries, and the patient was discharged without new neurological symptoms after 11 days of hospitalization.</p><p><strong>Conclusions: </strong>This case underscores the challenges in managing EPD entrapment during CAS and the necessity for a swift transition to open surgical intervention when endovascular techniques fail. The concurrent performance of CEA in such cases offers a comprehensive treatment strategy, highlighting the importance of a multidisciplinary approach in complex vascular interventions.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 1","pages":"7-13"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Study on the Efficacy and Safety of Emergency Surgery Versus Endoscopic Stent Placement Followed by Definitive Surgery in the Treatment of Colorectal Obstruction.","authors":"Zhekang Jin, Xihan Jin, Jiying Lu","doi":"10.62713/aic.3799","DOIUrl":"10.62713/aic.3799","url":null,"abstract":"<p><strong>Aim: </strong>Tumor-induced acute intestinal obstruction is a severe complication that poses significant threats to patient life. Emergency surgery is a widely used treatment method, but this approach has certain limitations such as high mortality and complication rates. Developments in endoscopic and minimally invasive techniques have provoked interest in postoperative definitive resection or conservative treatment following colorectal stent placement. Hence, this study aims to explore the clinical efficacy and safety of endoscopic-guided, X-ray-assisted intestinal stent placement in colorectal cancer (CRC) with acute intestinal obstruction, and to provide clinicians with viable alternative treatment options to enhance patient care.</p><p><strong>Methods: </strong>This study included 69 CRC patients who received treatment at the Affiliated Jinhua Hospital, Zhejiang University School of Medicine, China, between August 2017 and August 2021. The control group (n = 38) underwent emergency laparotomy with one-stage resection and stoma formation, followed by a postoperative second-stage stoma closure every 3 to 6 months. Moreover, the experimental group (n = 31) underwent endoscopic stent placement followed by definitive surgery. The differences in various indicators were compared between groups. Additionally, the 1-year and 3-year overall survival (OS) rates and disease-free survival (DFS) rates were compared between groups.</p><p><strong>Results: </strong>Successful placement of intestinal stents was achieved in all 31 patients, with acute intestinal obstruction relief within 24 to 48 hours. In the experimental group, stent placement effectively relieved intestinal obstruction, and a postoperative radical colon surgery was performed after 7 to 10 days. The experimental group had significantly lower rates of postoperative ventilator time, reduced time to oral intake, and fewer complication than the control group (p < 0.05). However, no significant differences were observed between groups regarding operation time, intraoperative blood loss, 1-year and 3-year OS rates, and 1-year and 3-year DFS rates (p > 0.05).</p><p><strong>Conclusions: </strong>Compared to emergency surgery, combined endoscopic and X-ray-guided colonic stent placement is an effective and safer method for alleviating acute intestinal obstruction in colorectal cancer. This study provides valuable insights to clinicians in selecting treatment options.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 2","pages":"261-268"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Outcomes of DAMIS Traction Table-Assisted Anterior Approach versus Posterolateral Approach on Total Hip Arthroplasty in the Treatment of Femoral Head Necrosis.","authors":"Mao-Sen Lu, Yan-Ping Zhang, Yong-Jie Jiao, Long Wang, Xin Meng, Jie Zhang, Min Du, Han-Zhen Hu, Jian-Wei Du, Chang-Feng Liu","doi":"10.62713/aic.3829","DOIUrl":"10.62713/aic.3829","url":null,"abstract":"<p><strong>Aim: </strong>Femoral head necrosis often leads to hip joint dysfunction, which can be effectively treated with total hip arthroplasty (THA). This study compares the clinical outcomes of direct anterior minimally invasive surgery (DAMIS) traction table-assisted anterior approach and the traditional posterolateral approach (PLA) on THA for femoral head necrosis.</p><p><strong>Methods: </strong>A total of 150 patients with femoral head necrosis, admitted between September 2019 and May 2022, were included in this study. In this sample, 68 patients underwent THA via the PLA (control group), while the remaining 82 patients were treated with THA using the DAMIS traction table-assisted anterior approach (observation group). The surgical-related indicators, postoperative pain scores, Harris hip scores (HHS), and rates of complication incidence between the two groups were compared.</p><p><strong>Results: </strong>There were no significant differences in surgery time between the two groups (p = 0.054). The observation group had significantly less intraoperative blood loss (p = 0.018), shorter incision length (p = 0.001), and significantly shorter time elapsed to first out-of-bed activity (p = 0.016) and shorter hospital stay compared to the control group (p = 0.001). The postoperative pain scores in the observation group were significantly lower than in the control group (p = 0.001), and the HHS at 2 weeks and 4 weeks after surgery were significantly higher in the observation group (p < 0.05). The overall complication rate in the observation group was significantly lower than in the control group (p = 0.011).</p><p><strong>Conclusions: </strong>DAMIS traction table-assisted anterior approach for THA demonstrates clinical advantages in the treatment of femoral head necrosis, effectively accelerating postoperative recovery and reducing the occurrence of complications.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 2","pages":"160-167"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Surgeon's Role in Preventing Anal Squamous Cell Carcinoma.","authors":"Anna Maffioli, Gloria Zaffaroni, Andrea Bondurri","doi":"10.62713/aic.3843","DOIUrl":"10.62713/aic.3843","url":null,"abstract":"<p><p>No abstract present.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 2","pages":"124-126"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Aorto-Duodenal Fistula: Case Series and Technical Notes.","authors":"Roberto Santoro, Laura Antolino, Debora Maruca, Vittorio Brizi, Manuela Brighi, Antonio Bovino, Armando Raso, Fabrizio Chegai, Emanuele Santoro, Antonio Lorido","doi":"10.62713/aic.3920","DOIUrl":"10.62713/aic.3920","url":null,"abstract":"<p><p>Aorto-duodenal fistula (ADF) is a rare clinical condition characterized by abnormal communication between the 3rd or 4th portion of the duodenum and the aorta, typically associated with aneurysmal disease. The incidence of ADF is expected to increase, however, there remains a lack of consensus on the optimal approach for intestinal restoration. In this study, we present three cases of ADF and their respective treatments using three distinct surgical techniques. Initially, endovascular aortic repair was employed as a life-saving procedure, followed by elective open repair. The choice of surgical technique was determined based on the patients' overall health conditions and the specific characteristics of the duodenal defect. In all cases, an omental patch was utilized to separate the aortic plane from the intestinal staple lines, providing additional protection for the sutures. The importance of a multimodal treatment strategy cannot be overstated, given the complex interplay of vascular, intestinal, and septic factors involved in the treatment of ADF.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 1","pages":"1-6"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between Preoperative Blood Pressure Variability and Carotid Sinus Reaction after Internal Carotid Artery Stenting.","authors":"Xinxiu Zhao, Zhengyu Tong, Liang Yin, Song Luo, Yuyu Li, Peng Shi, Weidong Qian","doi":"10.62713/aic.3730","DOIUrl":"10.62713/aic.3730","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the relationship between blood pressure variability (BPV) 24 hours before internal carotid artery stenting and post-procedural carotid sinus reaction (CSR), with an emphasis on identifying BPV indexes that predict the implementation of carotid artery stenting (CAS) and the subtype of CSR.</p><p><strong>Methods: </strong>A total of 105 patients who completed 24-hour ambulatory blood pressure monitoring and underwent CAS from August 2019 to February 2024 in the First Affiliated Hospital of Bengbu Medical College were included in this study. Patients were divided into CSR and non-CSR groups. The CSR group was further divided into three subgroups according to the type of CSR that occurred: namely hypotensive, bradycardic, and mixed types. Prior to stent placement, changes in ambulatory blood pressure were monitored using a fully automated non-invasive portable blood pressure monitor for 24 hours before the procedure, and the individual metrics in BPV were compared.</p><p><strong>Results: </strong>CSR occurred in 69 patients (65.71%) and the remaining 36 patients did not experience CSR (34.29%). Among the patients with CSR, 46 (66.67%) experienced hypotensive CSR, 9 (13.04%) had bradycardic CSR, and 14 (20.29%) mixed-type CSR. The age, history of hypertension, coronary artery disease, and history of smoking were significantly higher in the CSR group than in the non-CSR group (p = 0.007, p = 0.002, p = 0.046, p = 0.007, respectively). Age, hypertension, and history of smoking were the risk factors for CSR. A statistically significant difference in triglyceride levels was found between the three subgroups of CSR (p < 0.05); however, triglycerides had no significant effect on the type of CSR subgroups (all p > 0.05). A series of preoperative BPV indexes, like the maximum systolic blood pressure (SBP), SBP's max-min difference, mean, standard deviation (SD), coefficient of variation (CV), and degree of variability (SV) of the 24-hour SBP, were significantly correlated with the occurrence of CSR (p < 0.05). Further analysis revealed that SBP's max-min difference, SD, CV, and SV of 24-hour SBP were independent predictors of CSR. The bradycardic CSR was significantly correlated with the maximum diastolic blood pressure (DBP), minimum DBP, and 24-hour mean DBP, when compared to the hypotensive CSR (p < 0.05). The mixed-type CSR was significantly correlated with the maximum DBP and minimum DBP, when compared to the bradycardic CSR (p < 0.05).</p><p><strong>Conclusions: </strong>The indexes of BPV 24 hours before internal carotid artery stenting correlate with the occurrence and types of CSR. Therefore, BPV can be used as a predictor of the occurrence and specific type of CSR after internal carotid artery stenting.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 2","pages":"179-187"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Risk Factors and Preventive Measures for Perioperative Incision Infection in Patients Receiving Rigid Internal Fixation of Maxillofacial Fractures.","authors":"Fengxing Xu, Fan Wang","doi":"10.62713/aic.3853","DOIUrl":"10.62713/aic.3853","url":null,"abstract":"<p><strong>Aim: </strong>To analyze the risk factors for perioperative incision infection in patients undergoing rigid internal fixation for maxillofacial fractures and the prevention and control measures formulated to enhance the effect of surgical treatment.</p><p><strong>Methods: </strong>We retrospectively analyzed the medical records of 342 maxillofacial fracture patients who received rigid internal fixation treatment at the Department of Stomatological Surgery of The First People's Hospital of Yongkang (Yongkang First People's Hospital) from May 2018 to April 2023, and divided them into the uninfected group (n = 308) and the infected group (n = 34) according to their history of perioperative incision infections. Data from the subjects on age, type of fracture trauma and length of hospitalization were collected and analyzed. Multifactorial logistic regression analysis was employed to explore the risk factors for perioperative incision infections in these patients and to develop preventive measures for these risk factors.</p><p><strong>Results: </strong>The study found that the incidence of incision infections was 9.94% (34/342) in 342 patients. Multifactorial logistic regression analysis showed that the incidence of incision infections was significantly higher in patients with comorbid diabetes mellitus versus those without comorbid diabetes mellitus (odds ratio [OR] = 9.543, 95% confidence interval [CI]: 1.818-50.095, p = 0.008); patients undergoing surgery in summer versus those in other seasons (OR = 8.483, 95% CI: 1.476-48.744, p = 0.017); and malnourished patients versus those with good nutritional status (OR = 5.163, 95% CI: 1.016-26.231, p = 0.048). In addition, the analysis also revealed that incision size was also a risk factor for incision infections during the postoperative period (OR = 2.882, 95% CI: 1.567-5.304, p = 0.001), whereas a higher preoperative albumin level was a protective factor (OR = 0.755, 95% CI: 0.639-0.891, p = 0.001).</p><p><strong>Conclusions: </strong>A plethora of risk factors can lead to incision infection in patients with maxillofacial fracture during perioperative period. Therefore, preventive measures should be implemented in the hospitals to control these factors in order to reduce the occurrence of complications and enhance the effectiveness of surgical treatment.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 2","pages":"213-220"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Analysis of Neurological Function and Prognosis After Stereotactic Aspiration and Neuroendoscopic Surgery for Hypertensive Intracerebral Hemorrhage.","authors":"Ting Guo, Qianqian Zhu, Congying Zhu, Zhixin Zhao, Haifei Chai, Xufeng Pan, Danjiang Lin","doi":"10.62713/aic.3950","DOIUrl":"https://doi.org/10.62713/aic.3950","url":null,"abstract":"<p><strong>Aim: </strong>In recent years, minimally invasive surgery has become a preferred treatment for hypertensive intracerebral hemorrhage (HICH). This study aims to comprehensively compare the neurological function and prognosis of neuroendoscopic surgery (NS) and stereotactic aspiration (SA) in patients with HICH.</p><p><strong>Methods: </strong>A total of 247 patients with HICH admitted to Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University from April 2020 to December 2023 were included. Patients were divided into the NS group (65 cases) and the SA group (182 cases). The perioperative indicators, serum neurological function, complications, and functional prognosis were compared between the two groups.</p><p><strong>Results: </strong>The SA group demonstrated higher hematoma clearance rate with lower hematoma residual volumes and intraoperative blood loss than the NS group (p < 0.05). Compared with these before surgery, serum brain-derived neurotrophic factor (BDNF) levels increased, neuron-specific enolase (NSE) and glial fibrillary acidic protein (GFAP) levels decreased in both groups at 1 and 3 months post-surgery (p < 0.05). The SA group showed higher BDNF and lower NSE and GFAP levels at 1 and 3 months post-surgery than the NS group (p < 0.05). Compared with these before surgery, both groups showed lower National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS) score and higher Glasgow Outcome Scale (GOS) scores at 1 and 3 months post-surgery, with the SA group performing better than the NS group post-surgery (p < 0.05). There was no difference in the complications rates between the two groups (p > 0.05). At 3- and 6-months post-surgery, the SA group showed higher Mini-Mental State Examination (MMSE) scores than the NS group (p < 0.05). At 3 months post-surgery, the SA group showed higher activities of daily living (ADL) scores than the NS group (p < 0.05), but no difference at 6 months post-surgery (p > 0.05).</p><p><strong>Conclusions: </strong>In the treatment of HICH, compared to NS, SA offers advantages in hematoma clearance and intraoperative bleeding reduction. Additionally, SA more effectively improves neurological function, quality of life, and cognitive ability in HICH patients.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 4","pages":"514-522"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Laparoscopic Sleeve Gastrectomy Without Staple Reinforcement Safer? Analysis of 426 Consecutive Cases.","authors":"Nail Omarov, Elnur Huseynov, Gulcan Coban, Mushviq Hasanov","doi":"10.62713/aic.3774","DOIUrl":"https://doi.org/10.62713/aic.3774","url":null,"abstract":"<p><strong>Aim: </strong>Laparoscopic Sleeve Gastrectomy (LSG) is an accepted safe procedure and the most common surgical method used in the treatment of morbid obesity. Leakage and staple line bleeding are significant postoperative complications that can cause concern due to the long staple line. The purpose of this study to examine the risk of complications that may arise due to the lack of staple line reinforcement during the surgery.</p><p><strong>Methods: </strong>Between March 2021 and May 2023, 426 consecutive patients who underwent LSG in Avrupa Safak Hospital were identified through a retrospective database. The patients included in the study were divided into two groups according to the staple line reinforcement. Group A (n = 210) received staple line reinforcement (SLR) and Group B (n = 204) received non-staple line reinforcement (NSLR). Twelve patients who did not meet the inclusion criteria were excluded from the study. Patient demographics, operative time, postoperative and perioperative complications such as staple line leak, bleeding, conversion to open surgery, length of hospital stay, abdominal pain, morbidity and mortality-related data were analyzed.</p><p><strong>Results: </strong>The mean age, body mass index (BMI), and ASA scores were similar in both groups. Operative time was longer in SLR group (p < 0.001). Postoperative complications occurred in 6 (2.9%) and 9 (4.4%) patients in Groups A and B respectively (p = 0.397). There was no staple line leak in either group. There were two strictures in Group A. Mean length of postoperative hospital stay was 2.17 and 2.16 days in Groups A and B respectively (p = 0.830). There was no in patient death.</p><p><strong>Conclusions: </strong>Reinforcing the staple line after LSG is not necessary to reduce the risk of staple line leaks and bleeding.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 4","pages":"562-567"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}