Márquez-González SM, Cerón-Rodríguez F

Language: Spanish
References: 8
Page: 175-178
PDF size: 180.04 Kb.

ABSTRACT

Introduction: In spite of technological advances in stapling materials, the laparoscopic vertical sleeve gastrectomy remains associated to serious complications such as the complex situation of a gastric leak. Stapling line reinforcement has been a method proposed to prevent this eventuality. Objective: The purpose of this paper is to assess the results and experience of stapling line reinforcement with invaginating suture in that patient that underwent a laparoscopic gastric sleeve surgery. Material and methods: A retrospective study from May 2014 to August 2016 of 108 patients with a standardized laparoscopic sleeve gastrectomy. Results: Surgical time with an average of 78.23 minutes (58-140) and invaginanting suture time of 11.90 minutes (9-17). Post op complications were; bleeding in 3 patients (1 spleen and 2 trocar sites) from wich 2 required re-operation. Leakage was not a complication found in this group. Discussion: The present study favors the invaginating suture as a reinforcing method, in terms of leakage, bleeding, and low cost. Conclusion: Invaginating suture for stapling line reinforcement regardless of requiring additional time, it allows the surgeon to increase his experience and improve his technique skills. This paper sets the precedent for future larger and comparative studies.

REFERENCES

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