Does Omentopexy Make a Difference in Laparoscopic Sleeve Gastrectomy for Obesity Treatment? A Systematic Review and Meta-Analysis

被引：2

作者：

Mohamedahmed, Ali Yasen Y. ^{[1
]}

Hamid, Mohammed ^{[2
]}

Zaman, Shafquat ^{[3
,4
]}

Abdalla, Hashim E. ^{[1
]}

Wuheb, Ali Ahmed ^{[1
]}

Khan, Amir ^{[5
]}

Parmar, Jitesh ^{[1
]}

机构：

[1] New Cross Hosp, Royal Wolverhampton NHS Trust, Dept Gen & Upper GI Surg, Wolverhampton, England

[2] Dudley Grp NHS Trust, Dept Gen Surg, Dudley, England

[3] Birmingham Hosp NHS Trust, Dept Gen Surg Sandwell & West, Birmingham, England

[4] Univ Birmingham, Inst Canc & Genom Sci, Coll Med & Dent Sci, Birmingham, England

[5] Walsall Manor Hosp, Dept Gen Surg, Walsall, England

来源：

OBESITY SURGERY | 2024年 / 34卷 / 01期

关键词：

Sleeve gastrectomy; Omentopexy; Gastric leak; MORBID-OBESITY; GASTRIC LEAKS; COMPLICATIONS; MANAGEMENT; EXPERIENCE;

D O I：

10.1007/s11695-023-06956-x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

This systematic review and meta-analysis aimed to evaluate the comparative outcomes of laparoscopic sleeve gastrectomy with omentopexy (LSGO) versus conventional laparoscopic sleeve gastrectomy (LSG) for obesity treatment. A systematic online search was conducted using the available online databases, and Revman software was used for data analysis. Twenty-two eligible comparative studies were included (n = 9,321). LSGO showed a significantly lower rate of gastric leak (P = 0.0001), staple line bleeding (P = 0.00001), and gastric torsion (P = 0.002) in comparison to the LSG group. Operative time was significantly shorter in the LSG group (P = 0.00001); however, the length of hospital stay was in favour of the LSGO (P = 0.00001). Compared to LSG without omentopexy, LSG with omentopexy provides a significantly lower rate of postoperative complications and shorter LOS at the expense of operative time.

引用

页码：218 / 235

页数：18

共 54 条

[1] Abdo A, 2014, SURG ENDOSC, V28, P311, DOI [10.1007/s00464, DOI 10.1007/S00464-014-3476-Z]
[2] Omentopexy Effect on the Upper Gastrointestinal Symptoms and the Esophagogastroduodenoscopy Findings in Patients Undergoing Sleeve Gastrectomy
Abosayed, Amir K.
Mostafa, Mohamed Saber
[J]. OBESITY SURGERY, 2022, 32 (06) : 1864 - 1871
[3] Abou-Ashour HS, 2022, OBES SURG, V32, P729, DOI 10.1007/s11695-021-05806-y
[4] A prospective randomized controlled trial assessing the efficacy of omentopexy during laparoscopic sleeve gastrectomy in reducing postoperative gastrointestinal symptoms
Afaneh, Cheguevara
Costa, Ricardo
Pomp, Alfons
Dakin, Gregory
[J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2015, 29 (01): : 41 - 47
[5] Challenges in the Diagnosis of Leak After Sleeve Gastrectomy: Clinical Presentation, Laboratory, and Radiological Findings
Al Zoubi, Mohammad
Khidir, Nesreen
Bashah, Moataz
[J]. OBESITY SURGERY, 2021, 31 (02) : 612 - 616
[6] Omentopexy during laparoscopic sleeve gastrectomy: Is it effective in reducing postoperative gastrointestinal symptoms. A retrospective cohort study
AlHaddad, Mohannad
AlAtwan, Abrar A.
AlKhadher, Talal
AlJewaied, Ali
Qadhi, Iman
AlSabah, Salman K.
[J]. ANNALS OF MEDICINE AND SURGERY, 2021, 65
[7] [Anonymous], 2021, LANCET GASTROENTEROL, V6, P411, DOI 10.1016/S2468-1253(21)00143-6
[8] Bariatric surgery: A systematic review and meta-analysis
Buchwald, H
Avidor, Y
Braunwald, E
Jensen, MD
Pories, W
Fahrbach, K
Schoelles, K
[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 292 (14): : 1724 - 1737
[9] Modified Omentopexy in Laparoscopic Sleeve Gastrectomy: Does It Reduce the Risk of Postoperative Complications?
Derebey, Murat
Tarim, Ismail Alper
Mutlu, Vahit
Ozbalci, Aysu Basak
Ozbalci, Gokhan Selcuk
[J]. BARIATRIC SURGICAL PRACTICE AND PATIENT CARE, 2022, 17 (01) : 23 - 28
[10] Elbalshy M.A., 2017, INT SURG J, V5, P156, DOI DOI 10.18203/2349-2902.ISJ20175887

← 1 2 3 4 5 6 →