Early Single center Experience of Laparoscopic Sleeve Gastrectomy for Morbid Obesity

Georg Nashed, PhD, Wael Aziz, PhD, Mohamed Yehia, MRCS

cairo univeristy hospital

Background: Gastric sleeve resection was initially planned as the first step of bilio-pancreatic diversion with duodenal switch but it continues to emerge and gaining popularity as a restrictive bariatric procedure on its own.. The main advantages of this procedure are less postoperative food restrictions, no vomiting, and absence of late complications due to the lack of foreign implants. The aim of this retrospective study is to present our early experience with this bariatric technique.

Methods: Between January 2010 and January 2012, 60 patients underwent LSG as a sole bariatric operation at kasr al aini teaching hospital,Cairo,Egypt. The stomach was laparoscopically reduced to a “sleeve” along the lesser curvature over a 36-Fr bougie. Special attention was placed on complete resection of the gastric fundus. A retrospective review of a prospectively collected database was performed. Demographics, perioperative complications, and percentage of excess weight loss (%EWL), length of stay (LOS), were determined.

Results: 60 patients (21 males and 39 females), median age 33.3 years (range 20 to 50), underwent laparoscopic sleeve gastrectomy. The median Body Mass Index (BMI) was 46.4 (range 40 to 59). The median duration of surgery was 87.5 minutes (range 50 to 130), with conversions to open surgery in only 2 patients (3.3 percent).

Complications occurred in 11 patients (18.3 percent). The mean length of hospital stay was3.9 days (range 2 to 45) . The mean Excess weight loss (EWL) at 3 month following the sleeve operation was 46% (38-54). One case of mortality occurred 6 weeks after surgery (1.6%) due to pulmonary embolism in a super-obese patient who suffered from postoperative leak. The least follow up time was six months.

Conclusion: In the short term, LSG is a safe and highly effective bariatric operation more suitable for intermediate
morbidly obese patients with BMI between 40 and 50 kg/m2

Session: Poster Presentation

Program Number: P424

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