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Risk factors of perioperative morbimortality after laparoscopic sleeve gastrectomy: a club coelio multicenter study.

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Tulelli, Berenice Loi, Patrizia van Vyve, Etienne Johanet, Hubrt Fromont, Gérard Navez, Benoît [UCL] De Moor, Véronique [UCL] Closset, Jean

(eng) OBJECTIVES: Postoperative complications after Laparoscopic sleeve gastrectomy (LSG) can dramatically compromise patient's outcome. The aim of this study is to analyze the per- and postoperative short-term outcomes after LSG and to assess predictive risk factors of complications. METHODS: The study group consisted of 790 patients (610 women and 180 men) who underwent LSG In 2014. All interventions were performed by 18 experienced surgeons members of the Club Coelio. Data about preoperative work-up, surgical techniques, 30-days postoperative morbidity and mortality were collected. Endpoints were perioperative morbidity and mortality and assessment of potential risk factors for complications. RESULTS: Mean age and body mass index were respectively 39 years and 41.5kg/m2. Ninety-one patients (11.5%) had previous bariatric surgery. Morbidity rate was 4.7% (37/790) including 16 leaks (2.0%) and 9 bleedings (1.1%) and no deaths. Risk factors for leak were: previous adjustable banding (p = .0051), with no difference between removal of the banding and LSG in 1 or 2 steps, and type of endostapler (p = .0129). CONCLUSIONS: Leakage after Sleeve was rare but still observed even in experienced hands. The leak rate is particularly high when LSG is performed after adjustable gastric banding removal.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2018
Language Anglais
Journal information "Acta Chirurgica Belgica" - Vol. 118, no. 2, p. 94-98 (2018)
Peer reviewed yes
Publisher Taylor & Francis ((United Kingdom) London)
issn 0001-5458
Publication status Publié
Affiliations UCL - SSS/IREC/MONT - Pôle Mont Godinne
UCL - SSS/IREC/CHEX - Pôle de chirgurgie expérimentale et transplantation
UCL - (SLuc) Service de chirurgie et transplantation abdominale
UCL - (MGD) Service de chirurgie
Keywords Bariatric surgery ; Postoperative morbidity ; Revisional surgery ; Sleeve gastrectomy
Links
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Bibliographic reference Tulelli, Berenice ; Loi, Patrizia ; van Vyve, Etienne ; Johanet, Hubrt ; Fromont, Gérard ; et. al. Risk factors of perioperative morbimortality after laparoscopic sleeve gastrectomy: a club coelio multicenter study.. In: Acta Chirurgica Belgica, Vol. 118, no. 2, p. 94-98 (2018)
Permanent URL http://hdl.handle.net/2078.1/187805