Prevention and treatment of early complications after laparoscopic sleeve gastrectomy
Purpose: to demonstrate the possibility of preventing the twisting of the stomach remnant after laparoscopic sleeve gastrectomy by simultaneous omentopexy without increasing other complication rates. Materials and methods. The study included 1385 patients (women 999, men 386) who underwent laparoscopic sleeve gastrectomy with omentopexy from April 2013 to September 2017. In addition to the immediate results of surgical treatment, body mass index, age, sex of patients, comorbidities and postoperative complications were taken into account. Results. The average age of patients was 36 years (from 14 to 71 years). The average body mass index was 42,74 kg/m2 (from 35 to 73 kg/m2). Twenty-one of them had previously undergone temporary gastric obstruction (banding), another 80 patients had abdominal surgery in the past, in 98 cases simultaneous cholecystectomy was performed. Analysis of postoperative complications showed that 3 patients had hemorrhage due to hypertension and anticoagulant treatment in the postoperative period, all patients were treated medically. One staple-line leakage was observed. Strictures, volvulus, thromboembolic complications were not observed, no mortalities were noted. Conclusion. Laparoscopic sleeve gastrectomy performed simultaneously with omen-topexy, stabilizes the posterior stomach wall and can prevent gastric twist, which is the cause of its functional stenosis.