Integrated Bioabsorbable Tissue Reinforcement in Laparoscopic Sleeve Gastrectomy

被引:10
作者
Alley, Joshua B. [1 ,2 ,3 ]
Fenton, Stephen J. [1 ,2 ,3 ]
Harnisch, Michael C. [1 ]
Angeletti, Michael N. [1 ]
Peterson, Richard M. [1 ,2 ,3 ]
机构
[1] San Antonio Mil Med Ctr, Dept Surg, San Antonio, TX USA
[2] Univ Texas Hlth Sci Ctr San Antonio, Dept Surg, San Antonio, TX 78229 USA
[3] Uniformed Serv Univ Hlth Sci, Dept Def, F Edward Hebert Sch Med, Bethesda, MD 20814 USA
关键词
Bariatric surgery; Obesity; Laparoscopy; Gastroplasty; STAPLE-LINE REINFORCEMENT; GASTRIC BYPASS; MORBID-OBESITY; COMPLICATIONS; SURGERY; LEAKS;
D O I
10.1007/s11695-010-0313-x
中图分类号
R61 [外科手术学];
学科分类号
摘要
Division of the stomach in laparoscopic sleeve gastrectomy may be performed using bare stapler cartridges or cartridges fitted with tissue reinforcement strips, with or without oversewing. Many tissue reinforcement strips are after-market add-on products that must be fitted onto a stapler during surgery. A retrospective review was conducted of 85 consecutive patients undergoing laparoscopic sleeve gastrectomy using a novel integrated bioabsorbable polymer buttress pre-mounted on a single-use loading unit stapler. Mean preoperative body mass index (BMI) was 41.7 +/- 5.2 kg/m(2). Morbidity and short-term outcomes were documented. Mean follow-up was 8.1 +/- 3.6 months (range, 1.0-16.2 months). There were no mortalities or staple line leaks noted in this series with short-term follow up. The major complication rate (grade III and above) was 7.1% and included: reoperation for staple line bleeding (2.4%, n = 2), gastric sleeve stenosis requiring balloon dilation (2.4%, n = 2), choledocholithiasis 2 weeks after surgery (1.2%, n = 1), and reoperation without abnormality for suspected perioperative obstruction (1.2%, n = 1). Mean percent excess BMI loss at 3 (44.6 +/- 11.3), 6 (57.9 +/- 17.2), and 12 months (72.4 +/- 27.5) was comparable to other published series. The use of an integrated absorbable synthetic polymer for stapled tissue reinforcement in laparoscopic sleeve gastrectomy appears to be feasible and safe, and yields results consistent with other published techniques.
引用
收藏
页码:1311 / 1315
页数:5
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