Updated Review of Sleeve Gastrectomy

Trelles, Nelson; Gautier, Michel

doi:10.2174/1874259900802010041

Cited by 11 publications

(9 citation statements)

References 56 publications

(73 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There appeared to be a fall (35%-71.6% at 6 months, 45-83% at 1 year, 47-83% at 2 years and 66% at 3 years) in the peak of percentage of excess weight loss achieved after a while as reported by Trelles N and Gagner M. 12 The percentage of main complications was reported less in robotic sleeve than in SLSG. Miller N et al 20 in a study of 317 patients demonstrated this in a ratio of 5:12% in favor of RSG.…”

Section: Measures Of Outcomementioning

confidence: 61%

“…Gastrolysis is performed from 5 cm 9 (authors vary: 2 cm, 8 4 cm, 10 10 cm 11 ) proximal to the pylorus up to the angle of His. Approximately, 100 to 150 ml (60-200 ml 12 ) of sleeve is created over size 38 Fr 13 (size 32 F14-60 F) bougie using Echelon Flex linear stapler with 60 mm. Smaller size bougie and shorter distance from the pylorus are preferred, especially when sleeve gastrectomy is intended as a sole procedure for morbid obesity.…”

Section: Technique and Operative Timementioning

confidence: 99%

See 1 more Smart Citation

Sleeve Gastrectomy for Morbid Obesity: Robotic vs Standard Laparoscopic Sleeve Gastrectomy Methods

Ijah¹,

Bhatia²,

Kaltan³

et al. 2014

WJOLS

View full text Add to dashboard Cite

Aim:The aim of this study is to compare robotic laparoscopic sleeve gastrectomy with standard laparoscopic sleeve gastrectomy done for morbid obesity with regards to operative time and short-term patient outcome in a developing world.Background: Excision of the fundus and greater curvature of the stomach in sleeve gastrectomy not only restrict intake but also reduces the level of ghrelin in the circulating blood. Obesity surgery has benefited from the advent of surgical robot with its celebrated advantages (enhanced dexterity, precision and control of endowrist instruments, with 7º of freedom, 90º of articulation, intuitive motion and finger-tip control, motion scaling and tremor reduction). How this new technology under development affect patient outcome has only been reported in a few centers especially in the developed world. Materials and methods:Data for 21-month retrospective comparative study was collected from the records of 20 adult patients who had robotic sleeve gastrectomy (RSG) and 20 standard laparoscopic sleeve gastrectomy (SLSG) (obtained by randomized sampling of the total number of SLSG during the study period).Results and discussion: Duration of surgery, cost of operation, duration of hospital stay, percentage excess weight loss (%EWL)/BMI, quality of life, comorbidity resolution and complications were the measures of outcome studied in comparing RSG to SLSG. The mean duration of surgery of 143.05 minutes for SLSG and 152.7 minutes RSG (ratio 1:1.07) were in agreement with previous studies in which the duration of RSG was longer than SLSG. The RSG mean docking time of 12.6 minutes in this study obviously contributed to increasing the total operative time.The cost of surgery was found to be higher RSG 9000 USD compared to 7500 USD for SLSG (ratio1.2:1). This value is relatively higher than that documented in a study in which 400 euros was quoted. Understandably, this varied from center to center. Three patients (15%) were observed to have some significant complications among the SLSG group as against one patient (5%) in the RSG group. Conclusion:Sleeve gastrectomy by robotic method in a developing country experience, has comparative advantage over standard laparoscopic methods in reducing complications, though the duration and cost of surgery were higher in the WJOLS robotic methods. The choice of the method would therefore depend on availability, surgeon's skills, the patient's informed choice and ability to afford.

show abstract

Section: Measures Of Outcomementioning

confidence: 61%

Section: Technique and Operative Timementioning

confidence: 99%

Sleeve Gastrectomy for Morbid Obesity: Robotic vs Standard Laparoscopic Sleeve Gastrectomy Methods

Ijah¹,

Bhatia²,

Kaltan³

et al. 2014

WJOLS

View full text Add to dashboard Cite

show abstract

“…A comprehensive review on sleeve gastrectomy was done by Trelles and Gagner [25] and showed a mean % EBWL after sleeve gastrectomy ranging from 35% to 71.6% at 6 months, 45% to 83% at 1 year, 47% to 83% at 2 years, and 66% at 3 years. These findings are well supported by our study.…”

Section: Discussionmentioning

confidence: 99%

An Analysis of 1–3-Year Follow-up Results of Laparoscopic Sleeve Gastrectomy: an Indian Perspective

et al. 2012

View full text Add to dashboard Cite

show abstract

“…It has become the first option for many surgeons worldwide in treating obesity and its associated diseases. [1][2][3] Benefits of sleeve gastrectomy include lower complications, maintenance of normal gastrointestinal continuity, the absence of malabsorption and the ability to convert to multiple other operations. Excising the ghrelin producing stomach mass plays a significant role compared to other gastric restrictive procedures.…”

Section: Introductionmentioning

confidence: 99%

Role of staple line fixation during laparoscopic sleeve gastrectomy

Elbalshy¹,

Fayed²,

Abdelshahid³

et al. 2017

Int Surg J

View full text Add to dashboard Cite

Background: Although sleeve gastrectomy provides a technically simple procedure with minimal effect on digestive tract it deprives the stomach of its ligaments of fixation which results in impairment of gastric functions, vomiting, axial gastric rotation in addition to bleeding or leakage from the stable line. Objective of present study is the effect of stable line fixation during sleeve gastrectomy.Methods: This is a prospective randomized study using closed envelop method carried on 100 patients with morbid obesity who underwent laparoscopic sleeve gastrectomy (LSG) they were divided into two groups each is 50 patient group A underwent classic (LSG) with no fixation and group (B) with staple line fixation.Results: Patients were 68 females and 32 males with a mean age of 32.2±5.7 years, mean (BMI) 48.9±8.6kg/m2. postoperative vomiting, gastric axial rotation, impaired gastric emptying all were significantly higher in group A. Although both staple line bleeding and leakage were higher in the group A, but it was not statistically significant. Also, the operative time was shorter in the group A, but it was not significant.Conclusions: staple line fixation should be a step during sleeve gastrectomy as it regains the stomach its ligaments of fixation anatomically and so functions better less vomiting, less gastric axial rotation, better gastric emptying in addition to decreasing staple line bleeding and leakage with minimal effect on operative time.

show abstract

Updated Review of Sleeve Gastrectomy

Cited by 11 publications

References 56 publications

Sleeve Gastrectomy for Morbid Obesity: Robotic vs Standard Laparoscopic Sleeve Gastrectomy Methods

Sleeve Gastrectomy for Morbid Obesity: Robotic vs Standard Laparoscopic Sleeve Gastrectomy Methods

An Analysis of 1–3-Year Follow-up Results of Laparoscopic Sleeve Gastrectomy: an Indian Perspective

Role of staple line fixation during laparoscopic sleeve gastrectomy

Contact Info

Product

Resources

About