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Safety of peripheral gastric vessel coagulation during laparoscopic sleeve gastrectomy

INTRODUCTION: Staple-line bleeding (SLB) is a common issue during laparoscopic sleeve gastrectomy (SG). Identifying a method or technique intraoperatively to manage or reduce the prevalence of SLB is crucial. MATERIALS AND METHODS: Patients’ data who had undergone primary laparoscopic SG from Januar...

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Autores principales: Hong, Jian, Widjaja, Jason, Dolo, Ponnie Robertlee, Yao, Libin, Zhu, Xiaocheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8973477/
https://www.ncbi.nlm.nih.gov/pubmed/33885018
http://dx.doi.org/10.4103/jmas.JMAS_1_21
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author Hong, Jian
Widjaja, Jason
Dolo, Ponnie Robertlee
Yao, Libin
Zhu, Xiaocheng
author_facet Hong, Jian
Widjaja, Jason
Dolo, Ponnie Robertlee
Yao, Libin
Zhu, Xiaocheng
author_sort Hong, Jian
collection PubMed
description INTRODUCTION: Staple-line bleeding (SLB) is a common issue during laparoscopic sleeve gastrectomy (SG). Identifying a method or technique intraoperatively to manage or reduce the prevalence of SLB is crucial. MATERIALS AND METHODS: Patients’ data who had undergone primary laparoscopic SG from January 2018 to December 2019 at our hospital were retrospectively analysed. The patients in this study received peripheral gastric vessel coagulation intervention in addition to the standard SG procedure. Preoperative parameters included age, gender, body mass index (BMI), the prevalence of diabetes and hypertension. Intra- and postoperative parameters were prevalence of SLB, operative time, total postoperative stay, the prevalence of leakage and bleeding. Intraoperative SLB was identified and analysed through video recordings. RESULTS: 217 cases of laparoscopic SG were included in the study. The mean preoperative assessments were as follows: age, 34.2 ± 10.7 years; male/female, 98/119; BMI, 39.9 ± 7.6 kg/m(2); prevalence of diabetes, 52 (24.0%) and hypertension, 90 (41.5%). Of 217 patients, 35 (16%) were found to have SLB following the new interventional procedure. The mean operative time was 93.2 ± 13.6 min. The mean total postoperative stay was 3.3 ± 1.3 days. The postoperative prevalence of leakage and bleeding were 0% and 0%, respectively. CONCLUSION: The technique of coagulating the peripheral gastric vessels to prevent SLB is safe and appears promising. A prospective study comparing with and without peripheral gastric vessel coagulation will be needed in the future.
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spelling pubmed-89734772022-04-02 Safety of peripheral gastric vessel coagulation during laparoscopic sleeve gastrectomy Hong, Jian Widjaja, Jason Dolo, Ponnie Robertlee Yao, Libin Zhu, Xiaocheng J Minim Access Surg Original Article INTRODUCTION: Staple-line bleeding (SLB) is a common issue during laparoscopic sleeve gastrectomy (SG). Identifying a method or technique intraoperatively to manage or reduce the prevalence of SLB is crucial. MATERIALS AND METHODS: Patients’ data who had undergone primary laparoscopic SG from January 2018 to December 2019 at our hospital were retrospectively analysed. The patients in this study received peripheral gastric vessel coagulation intervention in addition to the standard SG procedure. Preoperative parameters included age, gender, body mass index (BMI), the prevalence of diabetes and hypertension. Intra- and postoperative parameters were prevalence of SLB, operative time, total postoperative stay, the prevalence of leakage and bleeding. Intraoperative SLB was identified and analysed through video recordings. RESULTS: 217 cases of laparoscopic SG were included in the study. The mean preoperative assessments were as follows: age, 34.2 ± 10.7 years; male/female, 98/119; BMI, 39.9 ± 7.6 kg/m(2); prevalence of diabetes, 52 (24.0%) and hypertension, 90 (41.5%). Of 217 patients, 35 (16%) were found to have SLB following the new interventional procedure. The mean operative time was 93.2 ± 13.6 min. The mean total postoperative stay was 3.3 ± 1.3 days. The postoperative prevalence of leakage and bleeding were 0% and 0%, respectively. CONCLUSION: The technique of coagulating the peripheral gastric vessels to prevent SLB is safe and appears promising. A prospective study comparing with and without peripheral gastric vessel coagulation will be needed in the future. Wolters Kluwer - Medknow 2022 2021-03-30 /pmc/articles/PMC8973477/ /pubmed/33885018 http://dx.doi.org/10.4103/jmas.JMAS_1_21 Text en Copyright: © 2021 Journal of Minimal Access Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Hong, Jian
Widjaja, Jason
Dolo, Ponnie Robertlee
Yao, Libin
Zhu, Xiaocheng
Safety of peripheral gastric vessel coagulation during laparoscopic sleeve gastrectomy
title Safety of peripheral gastric vessel coagulation during laparoscopic sleeve gastrectomy
title_full Safety of peripheral gastric vessel coagulation during laparoscopic sleeve gastrectomy
title_fullStr Safety of peripheral gastric vessel coagulation during laparoscopic sleeve gastrectomy
title_full_unstemmed Safety of peripheral gastric vessel coagulation during laparoscopic sleeve gastrectomy
title_short Safety of peripheral gastric vessel coagulation during laparoscopic sleeve gastrectomy
title_sort safety of peripheral gastric vessel coagulation during laparoscopic sleeve gastrectomy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8973477/
https://www.ncbi.nlm.nih.gov/pubmed/33885018
http://dx.doi.org/10.4103/jmas.JMAS_1_21
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