Management of staple line leaks after laparoscopic sleeve gastrectomy: Single-center experience

Year 2024, Volume: 37 Issue: 2, 219 - 223, 31.05.2024

Tevfik Kivilcim Uprak , Mümin Coşkun Mustafa Ümit Uğurlu , Ömer Günal , Asım Cingi Cumhur Yegen

https://doi.org/10.5472/marumj.1484454

Abstract

Objective: In obesity surgery, laparoscopic sleeve gastrectomy (LSG) is a frequently applied method. However, there are certain
complications. Leakage is one of the most serious complications after surgery, causing postoperative morbidity and sometimes
mortality. There is no consensus about management of leaks after LSG. In our study, we aimed to present our experience on the
management of LSG leaks.
Patients and Methods: Patients who underwent LSG between 2010-2017 in a tertiary university hospital were analyzed retrospectively.
Demographic characteristics, endoscopic and surgical interventions, morbidity, and mortality rates of patients diagnosed with LSG
leak were analyzed from prospectively recorded data.
Results: Leak was observed in 11 (2.15%) of a total of 510 LSG patients. Six (54%) patients were diagnosed as acute and 5 were early
leaks. Stent was applied to most of the patients (72%) with or without surgical exploration. The average length of stay in hospital was
21 days. Mortality was observed in 2 patients.
Conclusions: Consequently, leakage after LSG is a complication that requires multimodal therapy. Surgical treatment combined with
endoscopic intervention may increase success.

Keywords

Obesity, Morbid / surgery, Sleeve gastrectomy, Leakage management

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