Division of Gastrointestinal Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, 5 Tampa General Circle, Tampa, FL, 33606, USA.
University of South Florida Morsani College of Medicine, 560 Channelside Dr, Tampa, FL, 33602, USA.
Obes Surg. 2023 Jul;33(7):2237-2245. doi: 10.1007/s11695-023-06649-5. Epub 2023 May 19.
Leaks and bleeding are major acute postoperative complications following laparoscopic sleeve gastrectomy (LSG). Various staple line reinforcement (SLR) methods have been invented such as oversewing/suturing (OS/S), omentopexy/gastropexy (OP/GP), gluing, and buttressing. However, many surgeons do not use any type of reinforcement. On the other hand, surgeons who use a reinforcement method are often confused of what kind of reinforcement they should use. No robust and high-quality data supports the use of one reinforcement over the other or even supports the use of reinforcement over no-reinforcement. Therefore, SLR is a controversial topic that is worth our focus. The aim of this study is to compare the outcomes of LSG with versus without Seamguard buttressing of the staple line during LSG.
术后渗漏和出血是腹腔镜袖状胃切除术（LSG）后的主要急性术后并发症。已经发明了各种缝线加固（SLR）方法，例如缝合/缝合（OS/S）、网膜固定/胃固定（OP/GP）、粘合和支撑。然而，许多外科医生不使用任何类型的加固。另一方面，使用加固方法的外科医生经常对他们应该使用哪种加固方法感到困惑。没有强有力的高质量数据支持一种加固方法优于另一种，甚至支持使用加固方法优于不加固。因此，SLR 是一个值得关注的有争议的话题。本研究的目的是比较在 LSG 中使用和不使用缝线加固器（Seamguard）支撑缝线时 LSG 的结果。
