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188698

Comparative study of non reinforced staple line and reinforced staple line during laparoscopic sleeve gastrectomy

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Last updated: 28 Dec 2024

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Abstract

Background: Staple line bleeding & leak are the most annoying events of Laparoscopic Sleeve Gastrectomy. Staple line reinforcement (SLR) is considered  a weapon to reduce the incidence of such dangerous events. Purpose: Rationale of this study is to compare between non reinforced and reinforced staple line with vicryl sutures during laparoscopic sleeve gastrectomy. Patients and methods: Patients were divided into two groups; group (A); 25 cases; underwent Laparoscopic Sleeve Gastrectomy (LSG) with strength­ening of the stapler line by v-lock suture and group (B); 25 cases; underwent LSG without reinforcement of stapler line. patient follow-up period was 12 months. Results: There were no significant differences between both groups as regard to patient demographic data and hospital stay. Group (A) was performed in longer time; 102 ± 9 vs 74 ± 4 in group (B). frequency of bleeding was more in group (B); 7 patients (28%) than in group (A); one patient (4%). Also frequency of leakage was more group (B); 6 patients (24%) than in group (A); no patients (0%). P-value was  for bleeding and leakage; 0.049 & 0.022.  Conclusions: Sleeve gastrectomy by laparoscopy is a safe, minimally invasive and easy operative procedure. Adding reinforcement of the whole staple line is easy method to reduce the rate and severity of the postoperative bleeding and leakage to a great extent. Additional cost due to invaginating the whole staple line may be counterbalanced by the reduction in the length of hospital stay.

DOI

10.21608/bjas.2021.188698

Keywords

sleeve gastrectomy, Laparoscopy, Staple line reinforcement

Authors

First Name

M.A.

Last Name

Shaban

MiddleName

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Affiliation

General Surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Orcid

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First Name

H.R.

Last Name

Mosalam

MiddleName

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Affiliation

General Surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

M.M.

Last Name

Rezk

MiddleName

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Affiliation

General Surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

E.A.

Last Name

Abd El-Mabood

MiddleName

-

Affiliation

General Surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

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Orcid

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Volume

6

Article Issue

3

Related Issue

24728

Issue Date

2021-05-01

Receive Date

2021-08-10

Publish Date

2021-05-01

Page Start

93

Page End

100

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_188698.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=188698

Order

16

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Comparative study of non reinforced staple line and reinforced staple line during laparoscopic sleeve gastrectomy

Details

Type

Article

Created At

23 Jan 2023