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Laparoscopic Sleeve Gastrectomy with an Extensive Posterior Mobilization: Technique and Preliminary Results
Obesity Surgery, 08/22/2011
Gadiot RPM et al. – Laparoscopic sleeve gastrectomy (LSG) by the posterior approach is a safe and effective procedure, enabling a tight sleeve formation leading to satisfactory percent excess weight loss (%EWL) results. Since long–term results of LSG are unknown, further studies are needed to define the exact place of the LSG as a stand–alone bariatric procedure.
Methods- LSG by posterior approach was performed in a consecutive series of 445 (110 male/335 female, age 18–63 years, mean body mass index 46 kg/m2 (range 35–76)) patients between 2007 and 2010.
- Weight loss defined as mean percent excess weight loss (%EWL) was 71% (±26%) at 1 year, 69% (±25%) at 2 years, and 55% (±27%) at 3 years.
- Sixteen patients (4%) developed postoperative intra-abdominal hematoma, 8 patients (2%) anastomotic leakage, and 6 patients intra-abdominal abscess (1%), requiring reoperation in 20 patients (4%).
- Five patients (1%) had pulmonary embolism.
- Thirty-day mortality rate was 0.2%.
