medigraphic.com
ISSN 1665-2576 (Print)

2026, Number 3-4

<< Back Next >>

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.


REFERENCES

  1. Biter LU, 't Hart JW, Noordman BJ et al. Long-term effect of sleeve gastrectomy vs Roux-en-Y gastric bypass in people living with severe obesity: a phase III multicentre randomised controlled trial (SleeveBypass). Lancet Reg Health Eur. 2024; 38: 100836. doi: 10.1016/j.lanepe.2024.100836.

  2. Neagoe R, Muresan M, Timofte D et al. Long-term outcomes of laparoscopic sleeve gastrectomy - a single-center prospective observational study. Wideochir Inne Tech Maloinwazyjne. 2019; 14: 242-248. doi: 10.5114/wiitm.2019.84194.

  3. Mierzwa AS, Mocanu V, Marcil G et al. Characterizing timing of postoperative complications following elective Roux-en-Y gastric bypass and sleeve gastrectomy. Obes Surg. 2021; 31: 4492-4501. doi: 10.1007/s11695-021-05638-w.

  4. Wozniewska P, Diemieszczyk I, Hady HR. Complications associated with laparoscopic sleeve gastrectomy-a review. Prz Gastroenterol. 2021; 16: 5-9. doi: 10.5114/pg.2021.104733.

  5. Belluzzi A, Sample JW, Marrero K et al. Rare complications following laparoscopic sleeve gastrectomy. J Clin Med. 2024; 13: 4456. doi: 10.3390/jcm13154456.

  6. Naeem MS, Ul Ain R, Sadiq Z et al. Gastric staple line reinforcement with ligation clips for hemostasis in laparoscopic sleeve gastrectomy. Cureus. 2023; 15: e37271. doi: 10.7759/cureus.37271.

  7. Bayrak M, Altintas Y. Comparing reinforcement options for the staple line of laparoscopic sleeve gastrectomy. J Coll Physicians Surg Pak. 2019; 29: 661-664. doi: 10.29271/jcpsp.2019.07.661.

  8. 8.Tolone S, Gambardella C, Del Genio G et al. Comparison of bursting pressure on sleeve gastrectomy staple lines between stapling, buttressing, and oversewing. Surg Innov. 2021; 28: 18-23. doi: 10.1177/1553350620969002.

  9. Sallam A, Sarhan A, Wasfy T, Agwa O, Mawla W. Assessment of staple line reinforcement versus conventional laparoscopic sleeve gastrectomy. Zagazig University Medical Journal. 2024; 30: 2174-2184. doi: 10.21608/zumj.2024.256424.3056.

  10. Lin S, Li C, Guan W, Liang H. Can staple-line reinforcement eliminate the major early postoperative complications after sleeve gastrectomy? Asian J Surg. 2021; 44: 836-840. doi: 10.1016/j.asjsur.2020.12.036.

  11. Janik MR, Jedras K, Golik D, Sroczy?ski P. Influence of staple line reinforcement on the occurrence of bleeding complications following laparoscopic sleeve gastrectomy: a retrospective analysis. Wideochir Inne Tech Maloinwazyjne. 2023; 18: 665-670. doi: 10.5114/wiitm.2023.133679.

  12. Mohamed AT, Sakr AE, Elgazzar SA. Short-term outcomes of reinforcement of staple line during revisional laparoscopic sleeve gastrectomy. Benha Med J. 2023; 40: 297-309. doi: 10.21608/bmfj.2022.153726.1631.

  13. Abdelmageed SA, Helmy MZ. Staple line reinforcement during laparoscopic sleeve gastrectomy: pros and cons. International Surgery Journal. 2019; 6: 2677-2681. https://doi.org/10.18203/2349-2902.isj20193086

  14. Aiolfi A, Gagner M, Zappa MA et al. Staple line reinforcement during laparoscopic sleeve gastrectomy: systematic review and network meta-analysis of randomized controlled trials. Obes Surg. 2022; 32: 1466-1478. doi: 10.1007/s11695-022-05950-z.

  15. Park JY. Diagnosis and management of postoperative complications after sleeve gastrectomy. J Metab Bariatr Surg. 2022; 11: 1-12. doi: 10.17476/jmbs.2022.11.1.1.

  16. Basurto AN, Ramírez VJ, Ornelas OL et al. Comparación del tipo de cirugía bariátrica sobre la reducción de peso corporal y su relación con la grelina. Rev Cir. 2021; 73: 27-32. Disponible en: doi: 10.35687/s2452-45492021001640.




2020     |     www.medigraphic.com