Back to Search
Start Over
Single-stage laparoscopic sleeve gastrectomy: safety and efficacy in the super-obese.
- Source :
-
The Journal of surgical research [J Surg Res] 2012 Sep; Vol. 177 (1), pp. 49-54. Date of Electronic Publication: 2012 Mar 10. - Publication Year :
- 2012
-
Abstract
- Background: Laparoscopic sleeve gastrectomy (LSG) is increasingly used as a single-stage bariatric procedure. However, its safety and efficacy in super-obese patients (body mass index [BMI] > 50 kg/m(2)) is less well defined. This series reports on 400 consecutive patients who underwent LSG at our institution, to evaluate safety and efficacy in the super-obese.<br />Materials and Methods: We performed a retrospective review of prospectively collected data on 400 consecutive patients who underwent LSG at our institution. We analyzed baseline demographic data, median length of hospital stay, complications, length of follow-up, weight loss, and comorbidity resolution. We graded complications according to the Clavien-Dindo classification system. We classified patients as super-obese and non-super-obese and compared outcomes between groups. We used the two-tailed t-test and Fisher's exact test as necessary.<br />Results: There were 400 patients, 291 of whom were female (73%). The mean age was 44 y (standard deviation [SD] ± 9 y). The mean preoperative weight and BMI were 140 kg (SD ± 31 kg) and 49 kg/m(2) (SD ± 9 kg/m(2)), respectively. There were 67 complications (16%) in total. The major complication rate was 7.2%, with one recorded death. The median length of hospital stay was 3 d, and the mean follow-up period was 1 y. A total of 170 patients (43%) were super-obese, with a mean preoperative BMI of 56 kg/m(2) (SD ± 5 kg/m(2)). The mean absolute weight loss (59 versus 36.7 kg; P < 0.01) and percentage excess weight loss (58.9% versus 45.9%; P < 0.01) was significantly higher in the super-obese. The mean postoperative BMI for super-obese patients was 38.9 kg/m(2). There was no difference between groups in the incidence of major complications (8.2% versus 6.5%; P = 0.56).<br />Conclusion: Laparoscopic sleeve gastrectomy is safe and effective in the super-obese, with acceptable weight loss and no increase in the major complication rate.<br /> (Copyright © 2012 Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Bariatric Surgery methods
Female
Gastrectomy methods
Humans
Laparoscopy methods
Male
Middle Aged
New Zealand epidemiology
Postoperative Complications epidemiology
Retrospective Studies
Bariatric Surgery adverse effects
Gastrectomy adverse effects
Laparoscopy adverse effects
Obesity, Morbid surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1095-8673
- Volume :
- 177
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- The Journal of surgical research
- Publication Type :
- Academic Journal
- Accession number :
- 22445455
- Full Text :
- https://doi.org/10.1016/j.jss.2012.01.011