Are stapler line reinforcement materials necessary in sleeve gastrectomy?

• 作者: Ibrahim Sakcak
• 来源期刊: 世界外科手术杂志
• 学科: 医学
• 关键词: Obesity SLEEVE GASTRECTOMY STAPLE LINE REINFORCEMENT
• 年，卷（期）: 2015,（3）
• 页码范围: 223-228
• 页数: 6页
• 分类号: R

摘要

AIM:To investigate the effect of staple line reinforcement materials on decreasing complications related to sleeve gastrectomy.METHODS:In this retrospective study,we analyzed 84 patients who had sleeve gastrectomy due to obesity between April 2012 and April 2015.Sleeve gastrectomy procedure was performed in patients with a body mass index(BMI)more than 40 kg/m2,and the ones with a BMI between 32 and 40 kg/m2 in the presence of comorbid diseases.Reinforcement materials were used in 45 patients while they were not used in 39 patients.Materials such as Peristrip,3/0 prolene,and V-lock were used for reinforcement in the reinforcement group(RG),and the materials used showed variations during the study period.The baseline characteristics,duration of surgery,hospital stay,comorbidities including hypertension,type 2 diabetes mellitus,hypertension,hepatosteatosis,gallstones,osteoarthritis,gastroesophageal reflux,sleep disorders,as well as the complications including leaks and bleeding after surgery were recorded and compared between the reinforcement and non-RGs(NRGs).RESULTS:There were no differences between the reinforcement and NRGs for baseline characteristics including age(P=0.689),gender(P=0.057),height(P=0.483),weight(P=0.889),BMI(P=0.971),hospital stay(P=0.888),or duration of surgery(P=0.229).The most common comorbidities in the RG were hypertension(24.4%)and hepatosteatosis(24.4%),while type 2 diabetes mellitus(28.2%)and hepatosteatosis(28.2%)were the most frequent comorbidities in the NRG.There were no differences between the reinforcement and NRGs for the rates of comorbidities(P>0.05).Leak was observed in one(2.2%)patient in the RG,and there was leak in 2(5.1%),and bleeding in 2(5.1%)patients in the NRG.There were no differences between the reinforcement and NRGs for the rate of staple line leaks(P=0.446)or bleeding(P=0.213).One of the patients with leak died in the NRG while there were no deaths in the RG.CONCLUSION:Although staple line reinforcement materials decreased morbidity and mortality,the differences