Laparoscopic Sleeve Gastrectomy for Morbid Obesity: Surgical Technique and Early Results

Introduction

Laparoscopic sleeve gastrectomy is a relatively new bariatric procedure that is gaining popularity in the surgical treatment of the morbidly obese patient. The authors present their surgical technique and early results from their first 100 consecutive patients.

Methods

A restrospective chart review was completed on the authors’ first 100 consecutive patients undergoing a laparoscopic sleeve gastrectomy procedure. A standardized surgical technique was performed on all patients included in this study.

Results

100 consecutive patients underwent laparoscopic sleeve gastrectomy from November 2006 through July 2008. Average age was 44.7 years (range: 18 – 64 years.) Average pre-operative body mass index (BMI) was 46.4 (range: 34.4 – 79.6.) Average time of operation was 83.3 minutes (range: 42 – 210 minutes.) Average post-operative excess body weight loss at 3 and 6 months was 34 percent (range: 21 – 63 percent) and 49 percent (range 28 – 95 percent) respectively. Two patients had a post-operative hemorrhage requiring transfusion. One patient developed an abscess with subsequent gastric fistula formation requiring total parenteral nutrition and gastric stent placement. There were no re-operations or mortalities.

Discussion

The authors report on the efficacy and safety of laparoscopic sleeve gastrectomy as a viable option in the surgical treatment of the morbidly obese patient. Long term (5 years or greater) outcome data is warranted and forthcoming.


Session: Poster

Program Number: P042

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