Correct Stapling Technique in Laparoscopic Sleeve Gastrectomy: Are We Increasing the Bleeding? A Prospective Cohort Study

Gencturk M., DALKILIÇ M. S., Erdem H., Yilmaz M., Sisik A.

JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, 2023 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2023
  • Doi Number: 10.1089/lap.2022.0584
  • Journal Name: JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE
  • Keywords: sleeve gastrectomy, postoperative complications, postoperative hemorrhage, surgical stapling, DUODENAL SWITCH, A SIMPLE, COMPLICATIONS, RESECTION, LEAK
  • Marmara University Affiliated: Yes

Abstract

Introduction: Laparoscopic sleeve gastrectomy (LSG) has become the most common bariatric surgery procedure. Bleeding is the most common complication of this surgery and mostly occurs from the staple line. The aim of this study was to evaluate whether waiting between compression and firing during the stapling phase reduces the postoperative bleeding.Methods: A total of 325 patients who underwent LSG between April and July 2022 were analyzed prospectively. In terms of postoperative bleeding, the two groups, which we waited 30 seconds between staple firings and the no wait group, were compared.Results: The mean age of patients was 37.36 (+/- 11.12) years and mean body mass index was 45.18 (+/- 3.1) kg/m(2). Eleven patients needed transfusion. The rate of haemorrhagic complications was 3.38% (Group 1% 6.21 and Group 2% 1.11) (P = .012). The duration of surgery was similar to 10 minutes longer in the study group, which we waited (P = .0001).Conclusions: During the stapling stage in LSG, waiting between compression and firing can help reduce postoperative bleeding.