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Braghetto, I. et al.

Italo Braghetto, Owen Korn, Héctor Valladares, Luís Gutiérrez, Attila Csendes, Aníbal Debandi, Jaime Castillo, Alberto Rodríguez, Ana Maria Burgos, Luís Brunet,

Laparoscopic sleeve gastrectomy: surgical technique, indications and clinical results.

BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has been introduced as a multipurpose restrictive procedure for obese patients. Variations of the surgical technique may be important for the late results. METHODS: 50 patients submitted to LSG from January 2005 to December 2006 were studied. Mean age was 38.2 years, preoperative weight was 103.4 +/- 14.1 kg (78 to 146 kg), and preoperative BMI was 37.9 +/- 3.4 (32.9 to 46.8). Important co-morbidities were present in 39 patients (78%). RESULTS: Operative time was 110 +/- 15 min. Intraoperative difficulties were observed in 7 patients. Volume of the resected specimen was 760 +/- 55 ml and capacity of the gastric remnant was 108.5 +/- 25 ml. There was no conversion to open surgery. Histology of the resected stomach was normal in 8 patients, while chronic gastritis was found in 42 patients. At 6 and 12 months postoperatively, weight loss was 28.0 +/- 6.4 kg and 32.6 +/- 6.8 kg respectively. In the 18 patients who have reached 1 year follow-up, % excess BMI loss reached 85 +/- 0.7%. Most of the medical diseases associated with the obesity resolved after 6 to 12 months. CONCLUSION: LSG may be an acceptable operation. It is easy to perform, safe, and has a lower complication rate than other bariatric operations. Further studies are necessary for the clinical results at long-term follow-up.[1]

References

Laparoscopic sleeve gastrectomy: surgical technique, indications and clinical results. Braghetto, I., Korn, O., Valladares, H., Gutiérrez, L., Csendes, A., Debandi, A., Castillo, J., Rodríguez, A., Burgos, A.M., Brunet, L. Obes. Surg (2007) [Pubmed]

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