Compression pre-stapler firing and post-ignition wait during sleeve gastrectomy: a prospective randomized trial.
Sao Paulo Med J
; 142(3): e2023163, 2023.
Article
em En
| MEDLINE
| ID: mdl-38126605
ABSTRACT
BACKGROUND:
Insufficient research exists on the stapling technique in and duration of laparoscopic sleeve gastrectomy (LSG).OBJECTIVES:
This study aimed to assess the clinical outcomes using a 30-second precompression and post-firing waiting time without extra support for the stapling line. DESIGN AND SETTINGS Randomized controlled prospective study at a university hospital.METHODS:
This study included 120 patients treated between January 2022 and February 2023. The patients were divided into the non-waiting group (T0) and waiting group (T1), each with 60 patients. Perioperative complications were analyzed using statistical tests.RESULTS:
The waiting group (T1) showed a significant reduction in the number of intraoperative bleeding points requiring intervention compared with the non-waiting group (T0) (81 versus 134, P < 0.05). In T0, postoperative C-reactive protein (CRP) levels increased (P < 0.05) and hemoglobin levels decreased significantly (P <0.05). The study recorded 22 postoperative complications, accounting for 18.3% of all cases during the 30-day postoperative period.CONCLUSIONS:
The study concluded that the 30 sec + 30 sec stapling technique reduces perioperative bleeding, length of stay, and serious complication rates and is practical and effective for LSG. CLINICAL TRIAL REGISTRATION ClinicalTrials.gov with registration code NCT05703035; link https//clinicaltrials.gov/ct2/show/NCT05703035.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Obesidade Mórbida
/
Grampeamento Cirúrgico
/
Gastrectomia
Limite:
Humans
Idioma:
En
Revista:
Sao Paulo Med J
Assunto da revista:
MEDICINA
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Turquia
País de publicação:
Brasil