Perioperative managment of laparoscopic sleeve gastrectomy / 中华胃肠外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To summarize the surgical technique and perioperative management of laparoscopic sleeve gastrectomy (LSG).</p><p><b>METHODS</b>A total of 57 morbid obesity patients undergoing LSG surgery from May 2010 to December 2012 were enrolled in the study, whose clinical data in perioperative period were analyzed retrospectively. These patients had more than 1 year of follow-up. All the patients received preoperative preparation and postoperative management, and postoperative excess weight loss(EWL%) and improvement of preoperative complications was evaluated.</p><p><b>RESULTS</b>All the cases completed the operation under laparoscopy, except 1 case because of the abdominal extensive adhesion. The average operation time was(102.0±15.2) min and the mean intraoperative blood loss (132.3±45.6) ml. Of 2 postoperative hemorrhage patients, 1 case received conservative treatment, and another one underwent laparoscopic exploration. The EWL% at 3 months, 6 months and 1 year after procedure was (54.9±13.8)%, (79.0±23.6)% and (106.9±25.1)% respectively. The preoperative complications were improved in some degree. There were no operative death, and anastomotic leak, anastomotic stenosis, or surgical site infection occurred.</p><p><b>CONCLUSION</b>LSG is a safe and effective surgical technique, whose safety and efficacy may be increased by improving the perioperative management.</p>