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

被引:0
作者
Ali Yasen Y. Mohamedahmed
Mohammed Hamid
Shafquat Zaman
Hashim E. Abdalla
Ali Ahmed Wuheb
Amir Khan
Jitesh Parmar
机构
[1] The Royal Wolverhampton NHS Trust,Department of General and Upper GI Surgery
[2] New Cross Hospital,Department of General Surgery
[3] The Dudley Group NHS Trust,Department of General Surgery, Sandwell and West
[4] Birmingham Hospitals NHS Trust,Institute of Cancer and Genomic Science, College of Medical and Dental Science
[5] University of Birmingham,Department of General Surgery
[6] Walsall Manor Hospital,undefined
来源
Obesity Surgery | 2024年 / 34卷
关键词
Sleeve gastrectomy; Omentopexy; Gastric leak;
D O I
暂无
中图分类号
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
收藏
页码:218 / 235
页数:17
相关论文
共 186 条
[1]  
Syn NL(2021)Obesity: another ongoing pandemic Lancet Gastroenterol Hepatol 6 411-1841
[2]  
Cummings DE(2021)Association of metabolic-bariatric surgery with long-term survival in adults with and without diabetes: a one-stage meta-analysis of matched cohort and prospective controlled studies with 174 772 participants Lancet 397 1830-352
[3]  
Wang LZ(2013)Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon's guide Can J Surg 56 347-2716
[4]  
Lin DJ(2022)Are there benefits in performing gastro-omentopexy in laparoscopic vertical gastrectomy? Arq Bras Cir Dig 34 e1598-161
[5]  
Zhao JJ(2021)Laparoscopic sleeve gastrectomy with omentopexy: Is It really a promising method? - a systematic review with meta-analysis Obes Surg 31 2709-341
[6]  
Loh M(2019)Omentopexy in Sleeve Gastrectomy Reduces Early Gastroesophageal Reflux Symptoms Surg Laparosc Endosc Percutan Tech 29 155-47
[7]  
Koh ZJ(2010)Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement Int J Surg 8 336-161
[8]  
Chew CA(2011)The Cochrane Collaboration’s tool for assessing risk of Bias in randomised trials BMJ 343 d5928-6
[9]  
Loo YE(2005)Estimating the mean and variance from the median, range, and the size of a sample BMC Med Res Methodol 5 13-2204
[10]  
Tai BC(2015)A prospective randomized controlled trial assessing the efficacy of omentopexy during laparoscopic sleeve gastrectomy in reducing postoperative gastrointestinal symptoms Surg Endosc 29 41-13