Management of the staple line bleeding in laparoscopic sleeve gastrectomy: monopolar cautery versus oversewing.
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| Title: | Management of the staple line bleeding in laparoscopic sleeve gastrectomy: monopolar cautery versus oversewing. |
|---|---|
| Alternate Title: | Manejo del sangrado de la línea de grapas en la gastrectomía en manga laparoscópica: cauterio monopolar versus sobrecostura. |
| Authors: | Okut, Gokalp1 gokalp.okut@gmail.com, Turgut, Emre1, Kaplan, Kuntay1, Karahan, Mehmet1, Bag, Yusuf M.1, Sumer, Fatih1, Kayaalp, Cuneyt2 |
| Source: | Cirugía y Cirujanos. 2022 Supplement, Vol. 90, p115-120. 6p. |
| Subjects: | SLEEVE gastrectomy, HEMORRHAGE, CAUTERY, SURGICAL complications, TREATMENT effectiveness |
| Abstract (English): | Objective: Staple line bleeding control (SLBC) after laparoscopic sleeve gastrectomy (LSG) is a serious problem. Cauterization alone is generally not preferred because of concerns about weakening the staple line. The aim of this study was to compare the suturing and monopolar cauterization methods for SLBC in LSG. Methods: 212 patients were divided into two groups as cautery and suture groups. Demographic characteristics, intraoperative, and post-operative results were analyzed. Results: Post-operative complications were seen in seven patients, four of them staple line bleeding (three patients were in the cautery group and one patient was in the suture group), and three of them leakage (all patients were in the suture group) from the staple line. There was no significant difference between the groups in terms of staple line bleeding (p = 0.35), staple line leakage (p = 0.09), blood loss (p = 0.12), intraoperative complications (p = 0.16), post-operative hemoglobin decrease (p = 0.63), and length of hospital stay (p = 0.35), but the operation time was longer in the suture group. Conclusion: This is the first study in literature comparing monopolar cauterization with another technique. Monopolar cauterization can be used for SLBC in LSG. It is a safe and efficient method as well as inexpensive. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: El control del sangrado de la línea de grapas (SLBC) después de la gastrectomía en manga laparoscópica(LSG) es un problema grave. Generalmente, no se prefiere la cauterización sola debido a preocupaciones sobre el debilitamiento de la línea de grapas. El objetivo de este estudio fue comparar los métodos de sutura y cauterización monopolar para SLBC en LSG. Métodos: 212 pacientes fueron divididos en 2 grupos de cauterización y sutura. Se analizaron las características demográficas, los resultados intraoperatorios y posoperatorios. Resultados: Se observaron complicaciones posoperatorias en siete pacientes, cuatro de ellos sangrado en la línea de grapas (tres pacientes estaban en el grupo de cauterización, un paciente en el grupo de sutura) y tres de ellos fuga (todos los pacientes estaban en el grupo de sutura) del línea de grapas. No hubo diferencia significativa entre los grupos en términos de sangrado de la línea de grapas (p = 0.35), fuga dela línea de grapas (p = 0.09), pérdida de sangre (p = 0.12), complicaciones intraoperatorias (p = 0.16), disminución de hemoglobina postoperatoria (p = 0.63), duración dela estancia hospitalaria (p = 0.35), pero el tiempo de operación fue mayor en el grupo de sutura. Conclusión: Este es el primer estudio que compara la cauterización monopolar con otra técnica. La cauterización monopolar se puede utilizar para SLBC en LSG. Es un método seguro, eficaz y económico. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
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