Department of Gastroenterology Surgery, Inonu University Turgut Ozal Medical Center, Malatya.
Department of Gastroenterology Surgery, Yeditepe University, School of Medicine, Istanbul. Turkey.
Cir Cir. 2022;90(S1):115-120. doi: 10.24875/CIRU.21000835.
Staple line bleeding control (SLBC) after laparoscopic sleeve gastrectomy (LSG) is a serious problem. Cauterization alone is generally not preferred because of concerns about weakening the staple line. The aim of this study was to compare the suturing and monopolar cauterization methods for SLBC in LSG.
212 patients were divided into two groups as cautery and suture groups. Demographic characteristics, intraoperative, and post-operative results were analyzed.
Post-operative complications were seen in seven patients, four of them staple line bleeding (three patients were in the cautery group and one patient was in the suture group), and three of them leakage (all patients were in the suture group) from the staple line. There was no significant difference between the groups in terms of staple line bleeding (p = 0.35), staple line leakage (p = 0.09), blood loss (p = 0.12), intraoperative complications (p = 0.16), post-operative hemoglobin decrease (p = 0.63), and length of hospital stay (p = 0.35), but the operation time was longer in the suture group.
This is the first study in literature comparing monopolar cauterization with another technique. Monopolar cauterization can be used for SLBC in LSG. It is a safe and efficient method as well as inexpensive.
腹腔镜袖状胃切除术（LSG）后的吻合口出血控制（SLBC）是一个严重的问题。由于担心削弱吻合口，单独烧灼通常不被首选。本研究旨在比较 LSG 中缝合和单极烧灼法用于 SLBC 的效果。
将 212 例患者分为两组：烧灼组和缝合组。分析了人口统计学特征、术中及术后结果。
7 例患者发生术后并发症，其中 4 例为吻合口出血（3 例在烧灼组，1 例在缝合组），3 例为吻合口漏（均在缝合组）。在吻合口出血（p = 0.35）、吻合口漏（p = 0.09）、出血量（p = 0.12）、术中并发症（p = 0.16）、术后血红蛋白下降（p = 0.63）和住院时间（p = 0.35）方面，两组之间无显著差异，但缝合组的手术时间较长。
这是文献中首次比较单极烧灼与另一种技术的研究。单极烧灼可用于 LSG 中的 SLBC。它是一种安全有效的方法，且价格低廉。
