Piotr Major1, Michał Wysocki2, Michał Pędziwiatr3, Magdalena Pisarska4, Jadwiga Dworak5, Piotr Małczak6, Andrzej Budzyński7. 1. 2(nd) Department of Surgery, Jagiellonian University Medical College, Kopernika 21 St., 31-501, Kraków, Poland. Electronic address: majorpiotr@gmail.com. 2. Students' Scientific Group at 2nd Department of Surgery, Jagiellonian University Medical College, Kopernika 21 St., 31-501, Kraków, Poland. Electronic address: michal92wysocki@gmail.com. 3. 2(nd) Department of Surgery, Jagiellonian University Medical College, Kopernika 21 St., 31-501, Kraków, Poland. Electronic address: michal.pedziwiatr@uj.edu.pl. 4. 2(nd) Department of Surgery, Jagiellonian University Medical College, Kopernika 21 St., 31-501, Kraków, Poland. Electronic address: magdalenapisarska@interia.pl. 5. 2(nd) Department of Surgery, Jagiellonian University Medical College, Kopernika 21 St., 31-501, Kraków, Poland. Electronic address: jadwigadworak@gmail.com. 6. 2(nd) Department of Surgery, Jagiellonian University Medical College, Kopernika 21 St., 31-501, Kraków, Poland. Electronic address: pmmalczak@gmail.com. 7. 2(nd) Department of Surgery, Jagiellonian University Medical College, Kopernika 21 St., 31-501, Kraków, Poland. Electronic address: andrzej.budzynski@uj.edu.pl.
Abstract
BACKGROUND: Although bariatric procedures are considered safe, yet still they involve a risk of possible perioperative complications. Identification of risk factors for complications would allow for appropriate preoperative optimization of the patient, as well as reasonable postoperative care and early diagnosis and treatment of possible complications. The aim of this study was to determine the risk factors for perioperative complications after laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). MATERIAL AND METHODS: A retrospective analysis of prospectively collected data of patients operated for morbid obesity. Regarding postoperative complications defined as adverse events occurring within 30 days of the procedure. Factors associated with patient characteristics and those related to the surgical procedure were determined. 408 patients met inclusion criteria and were submitted to surgical treatment. LSG and LRYGB were performed in 233 and 175 patients, respectively. RESULTS: Complications were observed in 30 (7.3%) patients. The maximum preoperative body weight and BMI, as well as body weight and BMI on the day of surgery were associated with increased complication rate. The type of the procedure did not influence perioperative complications (LRYGB vs. LSG; OR: 1.14; CI: 0.53-2.44; p = 0.74). Although operative time statistically significantly increased the risk of complications, it did not seem clinically relevant (OR: 1.01; CI: 1.00-1.02; p = 0.003). An increase in the number of stapler firings used significantly increased complication rate only in LSG group. CONCLUSION: Longer duration of LSG and the increase in the number of stapler firings used during LSG should alert a surgeon to an increased risk of postoperative complications. In patients submitted to LRYGB the risk of possible complications increases with BMI.
BACKGROUND: Although bariatric procedures are considered safe, yet still they involve a risk of possible perioperative complications. Identification of risk factors for complications would allow for appropriate preoperative optimization of the patient, as well as reasonable postoperative care and early diagnosis and treatment of possible complications. The aim of this study was to determine the risk factors for perioperative complications after laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). MATERIAL AND METHODS: A retrospective analysis of prospectively collected data of patients operated for morbid obesity. Regarding postoperative complications defined as adverse events occurring within 30 days of the procedure. Factors associated with patient characteristics and those related to the surgical procedure were determined. 408 patients met inclusion criteria and were submitted to surgical treatment. LSG and LRYGB were performed in 233 and 175 patients, respectively. RESULTS: Complications were observed in 30 (7.3%) patients. The maximum preoperative body weight and BMI, as well as body weight and BMI on the day of surgery were associated with increased complication rate. The type of the procedure did not influence perioperative complications (LRYGB vs. LSG; OR: 1.14; CI: 0.53-2.44; p = 0.74). Although operative time statistically significantly increased the risk of complications, it did not seem clinically relevant (OR: 1.01; CI: 1.00-1.02; p = 0.003). An increase in the number of stapler firings used significantly increased complication rate only in LSG group. CONCLUSION: Longer duration of LSG and the increase in the number of stapler firings used during LSG should alert a surgeon to an increased risk of postoperative complications. In patients submitted to LRYGB the risk of possible complications increases with BMI.
Authors: Roshani Vijaykumar Patel; Patrick Woodburn; James R A Skipworth; William James Buchanan Smellie Journal: Obes Surg Date: 2018-05 Impact factor: 4.129
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Authors: Piotr Zarzycki; Jan Kulawik; Piotr Małczak; Mateusz Rubinkiewicz; Mateusz Wierdak; Piotr Major Journal: Obes Surg Date: 2021-03-06 Impact factor: 4.129
Authors: Piotr Major; Michał Wysocki; Jadwiga Dworak; Michał Pędziwiatr; Magdalena Pisarska; Mateusz Wierdak; Anna Zub-Pokrowiecka; Michał Natkaniec; Piotr Małczak; Michał Nowakowski; Andrzej Budzyński Journal: Obes Surg Date: 2018-06 Impact factor: 4.129
Authors: Antonio Buondonno; Pasquale Avella; Micaela Cappuccio; Andrea Scacchi; Roberto Vaschetti; Giancarlo Di Marzo; Pietro Maida; Claudio Luciani; Bruno Amato; Maria Chiara Brunese; Daniela Esposito; Lucio Selvaggi; Germano Guerra; Aldo Rocca Journal: Front Surg Date: 2022-03-24
Authors: Piotr Major; Tomasz Stefura; Piotr Małczak; Michał Wysocki; Jan Witowski; Jan Kulawik; Mateusz Wierdak; Magdalena Pisarska; Michał Pędziwiatr; Andrzej Budzyński Journal: Obes Surg Date: 2018-04 Impact factor: 4.129
Authors: Magdalena Mizera; Michał Wysocki; Katarzyna Bartosiak; Paula Franczak; Hady Razak Hady; Piotr Kalinowski; Piotr Myśliwiec; Michał Orłowski; Rafał Paluszkiewicz; Jerzy Piecuch; Jacek Szeliga; Maciej Walędziak; Piotr Major; Michał Pędziwiatr Journal: Obes Surg Date: 2020-11-05 Impact factor: 4.129