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2026, Number 3-4

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Rev Mex Cir Endoscop 2026; 27 (3-4)

Ten years of laparoscopic sleeve gastrectomy without staple line reinforcement

Montoya-Ramírez J, Rodríguez-Salinas JF, Guillén-Martínez J, Sánchez-Lora J, Acuña-Cota CF, Ramírez-González D, Ramírez-López R, Coronel-Ruilova JM

Language: Spanish
References: 16
Page: 78-82
PDF size: 689.08 Kb.


ABSTRACT

Introduction: laparoscopic sleeve gastrectomy is a widely used technique for the treatment of obesity; however, there is ongoing controversy regarding the need for long-term staple line reinforcement. Objectives: to evaluate the outcomes obtained with laparoscopic sleeve gastrectomy without staple-line reinforcement at the ISSSTE Centro Médico Nacional 20 de Noviembre. Material and methods: an observational, longitudinal, retrospective, and analytical study was conducted, including all patients who underwent laparoscopic sleeve gastrectomy from January 2015 to January 2025. Results: a descriptive and inferential analysis was performed, revealing that 79% of the patients were female, with an average age of 43 years. Postoperative bleeding occurred in 3.68% of cases, all of which were resolved without reintervention. The mean operative time was 75 minutes. Conclusion: a well-standardized laparoscopic sleeve gastrectomy without staple-line reinforcement demonstrates a bleeding risk comparable to techniques that use reinforcement, with a significant reduction in operative time.


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