BACKGROUND: This study aims to identify whether reinforcing the staple line during laparoscopic sleeve gastrectomy (LSG) has advantages. METHODS: We searched MEDLINE (PubMed; till August 2011), EMBASE (till August 2011), and the Cochrane Central Register of Controlled Trials (Central) in the Cochrane Library (till August 2011) using common keywords related to sleeve gastrectomy and reinforcement. The keywords were as follows: "sleeve gastrectomy" and "reinforcement," or "reinforcing," or "reinforce," or "leak," or "leakage," or "staple," or "stapling," or "oversew," or "oversewing," or "oversewed." The language of publication was limited to English only. RESULTS: Of the 358 articles meeting our initial criteria, eight full texts (two randomized control trial [RCT] and six cohort studies), involving 1,345 participants (828 patient cases and 517 controls) were included in the final analysis. Comparing the reinforcement of the staple line to no reinforcement of the staple line, the odds ratio (OR) for overall complications was 0.521 (95 % confidence intervals [CI], 0.349-0.777). In addition, the OR for staple line leak was 0.425 (95 % CI, 0.226-0.799) and for staple line hemorrhage was 0.559 (95 % CI, 0.247-1.266). CONCLUSION: The current study showed that reinforcing the staple line during LSG has the following advantages: decreased incidence of postoperative leak and overall complications. More prospective studies with better evidence are needed.
BACKGROUND: This study aims to identify whether reinforcing the staple line during laparoscopic sleeve gastrectomy (LSG) has advantages. METHODS: We searched MEDLINE (PubMed; till August 2011), EMBASE (till August 2011), and the Cochrane Central Register of Controlled Trials (Central) in the Cochrane Library (till August 2011) using common keywords related to sleeve gastrectomy and reinforcement. The keywords were as follows: "sleeve gastrectomy" and "reinforcement," or "reinforcing," or "reinforce," or "leak," or "leakage," or "staple," or "stapling," or "oversew," or "oversewing," or "oversewed." The language of publication was limited to English only. RESULTS: Of the 358 articles meeting our initial criteria, eight full texts (two randomized control trial [RCT] and six cohort studies), involving 1,345 participants (828 patient cases and 517 controls) were included in the final analysis. Comparing the reinforcement of the staple line to no reinforcement of the staple line, the odds ratio (OR) for overall complications was 0.521 (95 % confidence intervals [CI], 0.349-0.777). In addition, the OR for staple line leak was 0.425 (95 % CI, 0.226-0.799) and for staple line hemorrhage was 0.559 (95 % CI, 0.247-1.266). CONCLUSION: The current study showed that reinforcing the staple line during LSG has the following advantages: decreased incidence of postoperative leak and overall complications. More prospective studies with better evidence are needed.
Authors: George A Giannopoulos; Nikolaos E Tzanakis; George E Rallis; Stamatis P Efstathiou; Christos Tsigris; Nikolaos I Nikiteas Journal: Surg Endosc Date: 2010-04-16 Impact factor: 4.584
Authors: Raquel Sánchez-Santos; Carlos Masdevall; Aniceto Baltasar; Candido Martínez-Blázquez; Amador García Ruiz de Gordejuela; Enric Ponsi; Andres Sánchez-Pernaute; Gregorio Vesperinas; Daniel Del Castillo; Ernest Bombuy; Carlos Durán-Escribano; Luis Ortega; Juan Carlos Ruiz de Adana; Javier Baltar; Ignacio Maruri; Emilio García-Blázquez; Antonio Torres Journal: Obes Surg Date: 2009-07-02 Impact factor: 4.129
Authors: Felix B Langer; Arthur Bohdjalian; Franz X Felberbauer; Edith Fleischmann; Mir A Reza Hoda; Bernhard Ludvik; Johannes Zacherl; Raimund Jakesz; Gerhard Prager Journal: Obes Surg Date: 2006-02 Impact factor: 4.129
Authors: Raquel Sánchez-Santos; Ricard Corcelles Codina; Ramon Vilallonga Puy; Salvadora Delgado Rivilla; Jose Vicente Ferrer Valls; Javier Foncillas Corvinos; Carlos Masdevall Noguera; Maria Socas Macias; Pedro Gomes; Carmen Balague Ponz; Jorge De Tomas Palacios; Sergio Ortiz Sebastian; Andres Sanchez-Pernaute; Jose Julian Puche Pla; Daniel Del Castillo Dejardin; Julen Abasolo Vega; Ester Mans Muntwyler; Ana Garcia Navarro; Carlos Duran Escribano; Norberto Cassinello Fernández; Nieves Perez Climent; Jose Antonio Gracia Solanas; Francisca Garcia-Moreno Nisa; Alberto Hernández Matias; Victor Valentí Azcarate; Jose Eduardo Perez Folques; Inmaculada Navarro Garcia; Eduardo Dominguez-Adame Lanuza; Sagrario Martinez Cortijo; Jesus González Fernández Journal: Obes Surg Date: 2016-12 Impact factor: 4.129