Comparison of early postoperative outcomes of omentopexy and clips along the staple line during laparoscopic sleeve gastrectomy: a randomized study
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Tarih
2024
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background: We aimed to compare the omentopexy and clipping reinforcement methods performed along the staple line during laparoscopic sleeve gastrectomy (LSG) in terms of the effectiveness on postoperative bleeding.
Methods: In this prospective randomized controlled study, patients were divided into two groups: clips group (CG) and omentopexy group (OG). The groups were compared in terms of postoperative bleeding, duration of surgery, length of hospital stay, hospital readmissions in the postoperative first 30-days.
Results: A total of 148 patients were included in the study. Postoperative bleeding was observed in 11 patients (14.9%) of CG and 2 patients (2.7%) of the OG, and the difference between the groups was found to be significant (p = 0.009). Similarly, the number of patients with bleeding that did not require intervention was 9 (12.2%) in CG and 2 (2.7%) in OG, and the difference between the groups was also significant (p = 0.028). The duration of surgery in the CG was 30 (27 to 36) minutes, whereas in the OG, it was 43 (39 to 45) minutes, with a significant difference noted (p < 0.001). Additionally, the rate of patients readmitted to the hospital within the first 30 days was 16 (21.6%) in the CG and 7 (9.5%) in the OG, with a significant difference observed (p = 0.041).
Conclusion: In terms of bleeding requiring intervention, there was no difference between omentopexy and clipping techniques. In addition, omentopexy showed more satisfactory results than clipping in terms of non-interventional bleeding, but its clinical significance is unclear.
Açıklama
Anahtar Kelimeler
Bleeding, Clipping, Laparoscopic Sleeve Gastrectomy, Omentopexy
Kaynak
Obesity Surgery
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
34
Sayı
11
Künye
Demirpolat, M. T., İslam, M. M., Bacaksız, M. E., Ertekin, S. Ç., Şişik, A. (2024). Comparison of early postoperative outcomes of omentopexy and clips along the staple line during laparoscopic sleeve gastrectomy: a randomized study. Obesity Surgery, 34(11), 4116-4124. 10.1007/s11695-024-07543-4
