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KMID : 1033120140030010017
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대한비만대사외과학회지
2014 Volume.3 No. 1 p.17 ~ p.21
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Staple-line Reinforcement after Laparoscopic Sleeve Gastrectomy: Personal Experience at a Single Center
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Choi Yoon-Young
Kim Yong-Jin
Hur Kyung-Yul
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Abstract
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Purpose: The usefulness of reinforcement of staple-line during laparoscopic sleeve gastrectomy (LSG) is still controversial.We review our experience of LSG to check it.
Materials and Methods: Eighty one patients who were performed LSG betweenApril 2009 and August 2010 enrolled in this study. The patients were divided into two groups; nonreinforcement ofstaple-line group and reinforcement of staple-line group. We started reinforcement of staple-line from 31st patients becausewe experienced three cases of staple-line related complications.
Results: The demographics of each group had no difference.There were three staple-line related complication(one case of leak and 2 cases of kinking) in nonreinforcement group,but no staple-line related complication in reinforcement group (P=0.048). There was no bleeding and no stenosis in bothgroup. The operation time was longer in nonreinforcement group than reinforcement group (129 min. vs 103 min.,P=0.027). Also, the number of patients who needed medication for reflux symptom were 6 (20%) in nonreinforcementgroup and 2 (3.9%) in reinforcement group (P=0.019).
Conclusion: Routine reinforcement of the staple-line may decreasethe staple-line related complications. A well-designed prospective study with longer follow up would be necessary toelucidate the efficacy and usefulness of the staple-line reinforcement during LSG.
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KEYWORD
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Sleeve gastrectomy, Morbid obesity, Reinforcement
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