Sleeve gastrektomi yapılan hastalarda zımba hattı güçlendirmenin komplikasyon oranlarına etkisi

Öz

Sleeve gastrektomi yapılan hastalarda zımba hattı güçlendirmenin komplikasyon oranlarına etkisi Özet Amaç: Sleeve gastrektomide cerrahi teknik ile alakalı olarak birçok doğru bulunmuş olmasına rağmen zımba hattı güçlendirmesi halen tartışılır olmaya devam etmektedir. Çalışmamızda zımba hattı güçlendirmenin konplikasyon oranlarına etkisini tartışmayı amaçladık. Materyal ve Method: Kliniğimizde Ocak 2013-Haziran 2025 tarihleri arasında obezite tedavisi amacı ile sleeve gastrektomi uygulanan hastalar hastane elektronik tabanlı veri sistemi üzerinden belirlenerek 18 yaş üstü, zımba hattı güçlendirmesi yapılmayan ve zımba hattı güçlendirmesi omentumu içine alarak yapılan, veri eksikliği olmayan hastalar çalışmaya dahil edildi. Hastaların demografik verilerinin yanı sıra BMI leri, yandaş hastalıkları, zımba hattı güçlendirme teknikleri ve cerrahi komplikasyonlar kaydedildi. Bulgular: Belirtilen tarihler arasında sleeve gastrektomi yapılan 191 hasta vardı.Bu hastaların 138 hasta kadın 53 hasta erkekti. Hastaların BMI ortalamaları 44.77 8.01 kilogramdı. Yandaş hastalık olan 75 hasta vardı. Zımba hattı güçlendirdiğimiz hasta sayımız 56 idi. Komplikasyon gelişen toplam hasta sayısımız 6 idi. Komplikasyon gelişen hastaların tamamı zımba hattı güçlendirilmeyen hasta grubundaydı. Mortalitemiz yoktu. Sonuç: Sleeve gastrektomi sonrtası zımba hattı güçlendirme komplikasyon oranlarını azaltmada etkin bir yöntemdir. Anahtar Kelimeler: Morbid obezite; Sleeve gastrektomi; Kaçak oranı

Anahtar Kelimeler

• Morbit obezite
• Sleeve gastrektomi
• Kaçak oranı

The effect of staple line reinforcement on complication rates in patients undergoing sleeve gastrectomy

Öz

The Effect of Staple Line Reinforcement on Complication Rates in Patients Undergoing Sleeve Gastrectomy Abstract Aim: Although many findings have been made regarding surgical technique in sleeve gastrectomy, staple line reinforcement remains controversial. In our study, we aimed to discuss the effect of staple line reinforcement on complication rates. Methods: Patients who underwent sleeve gastrectomy for obesity treatment at our clinic between January 2013 and June 2025 were identified through the hospital's electronic data system. Patients over the age of 18, those who did not undergo staple line reinforcement, those who underwent staple line reinforcement involving the omentum, and those with no missing data were included in the study. Patient demographics, as well as BMI, comorbidities, staple line reinforcement techniques, and surgical complications, were recorded. Results: 191 patients underwent sleeve gastrectomy between the specified dates. Of these patients, 138 were female and 53 were male. The patients' mean BMI was 44.77 8.01 kilograms. There were 75 patients with comorbidities. The number of patients in whom we reinforced the staple line was 56. A total of 6 patients developed complications. All patients who developed complications were in the group without staple line reinforcement. There were no mortality rates. Conclusion: Staple line reinforcement after sleeve gastrectomy is an effective method for reducing complication rates. Keywords: Morbid obesity; Sleeve gastrectomy; Leak rate

Anahtar Kelimeler

• morbid obesity
• sleeve gastrectomy
• leak rate

Kaynakça

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