Background: Revisional sleeve gastrectomy has higher complications like bleeding and leakage so staple line reinforcement (SLR) is very important to decrease such dangerous events.
Purpose: The purpose of this research is to investigate the effectiveness of utilizing v-lock suture to strengthen the staple line during revisional laparoscopic sleeve gastrectomy performed following an unsuccessful laparoscopic adjustable gastric band procedure.
Patients and methods: Patients were arranged into; group (A); 21 cases; underwent Laparoscopic Sleeve Gastrectomy (LSG) with stapler line strengthening by v-lock suture and group (B); 21 cases; underwent LSG without strengthening. patient follow-up period was 6 months.
Results: There was no mortality. No significant differences between both groups as regard to preoperative data and hospital stay. Group (A) was performed in longer time; 109 ± 2.3 vs 78 ± 1.4 in group (B). Postoperative leak was reported only in group (B); 6 patients (28.6%) and frequency of bleeding was more in group (B); 8 patients (38.1%) P-value for leak and bleeding was 0.012 & 0.039.
Conclusions: Revisional Sleeve gastrectomy by laparoscopy is still safer and minimally invasive procedure. Adding v-lock suture reinforcement of the staple line is a weapon to decrease incidence of postoperative leak and bleeding to a great extent. |
