THE RELATION BETWEEN THE PROCEDURE TIME LENGTH OF SLEEVE GASTRECTOMY AND EARLY RECOVERY
Ashraf Altamimi* MD, Mohammad Alhroot MD, Maher Hjazeen MD, Alhareth Alqatawna MD, Sofian harahsheh MD, Mohammad Al-huniti MD, Ramadan Hassanat MD and Majed Alqaisi MD
ABSTRACT
Objective: To evaluate the relation between the procedure length and early comorbidity regarding sleeve gastrectomy surgery. Methodology: Its retrospective study of 140 sleeve gastrectomy procedures underwent at prince Ali hospital/royal medical service, over 2 years duration starting from 1st May 2021. All data regarding age, sex, and BMI were collected before surgery, then and during surgery the operative duration time registered for every case. Then in the 1st month after surgery, comorbidity was followed focusing on bleeding, leak and Deep Venous Thrombosis (DVT). Patients who suffered from calf pain referred to ultrasound to rollout DVT and those who suffered from chest pain and difficult breathing referred to do CT scan to rollout Pulmonary Embolism (PE). Results: One hundred and forty patients were included in the study. The male to female ratio was 1:2 and the mean age was 45.8 ± 13.4 years. The mean BMI in the study was 37.2 ± 4.7 kg/m2. The most common comorbidity seen was hypertension seen in 70 patients (50%) followed by type 2 DM seen in 39 patients (28%). Twenty patients had dyslipidemia (14%). The mean operation time is 65 ± 17 Minutes. Overall Complications rate was 10%. The most common complication observed was bleeding in 8 patients, staple line leak in 5 patients and deep vein thrombosis in 1 patient. Conclusion: The outcome of LSG is very encouraging and predicting complication after the procedure is possible. There is an association between the duration of surgery and complications after LSG with more complications occurring if the LSG is prolonged.
Keywords: Laparoscopic sleeve gastrectomy, Leak.
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