@article{article_1453036, title={EVALUATION OF EARLY POSTOPERATIVE OUTCOMES IN PATIENTS WHO UNDERWENT SLEEVE GASTRECTOMY FOR MORBID OBESITY OVER THE PAST FIVE YEARS}, journal={Kocatepe Tıp Dergisi}, volume={26}, pages={156–161}, year={2025}, DOI={10.18229/kocatepetip.1453036}, author={Tümkaya, İhsan and Çilekar, Murat and Yılmaz, Sezgin and Akıcı, Murat and Cilekar, Sule}, keywords={Fibrin sealant, Leak, Bleeding}, abstract={OBJECTIVE: According to the World Health Organization (WHO), obesity is defined as ’the accumulation of excess fat in the body to a degree that may impair health.’ Currently, laparoscopic sleeve gastrectomy is the most commonly performed surgical procedure for obesity treatment and, if not managed properly, may result in various complications. The most serious early postoperative complications include staple line leakage, bleeding, and pulmonary thromboembolism. This study examines the incidence of early postoperative complications in sleeve gastrectomy patients, with a discussion of relevant literature.
MATERIAL AND METHODS: This retrospective study included 335 patients who underwent laparoscopic sleeve gastrectomy at the General Surgery Clinic between January 1, 2017, and March 1, 2022. Fibrin sealant was applied in 311 patients (92.8%) who underwent the standard laparoscopic sleeve gastrectomy technique. Five staplers were used in 317 patients (94.6%), while six staplers were used in 18 patients (5.4%). Postoperative complications occurring within the first month were recorded.
RESULTS: This study included 335 patients (67 males, 268 females), aged between 18 and 72 years. Postoperatively, the leak rate was 2.4%, while both the bleeding and pulmonary thromboembolism rates were 0.6%. Neither the use of fibrin sealant nor the number of staplers had a statistically significant effect on leak rates. However, bleeding was significantly higher in patients who did not receive fibrin sealant compared to those who did (p = 0.018).
CONCLUSIONS: Our rates of post-surgical leaks, bleeding, and pulmonary thromboembolism were found to be consistent with the existing literature. While the effectiveness of fibrin sealant in preventing leaks remains debatable, its impact on bleeding has been observed to be significant. Fibrin sealant appears to be an effective measure in preventing bleeding from the staple line in patients undergoing surgical treatment.}, number={2}, publisher={Afyonkarahisar Sağlık Bilimleri Üniversitesi}, organization={AFYONKOCATEPE SAĞLIK BİLİMLERİ ENSTİTÜSÜ}