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Laparoscopic Sleeve Gastrectomy for Morbid Obesity in 3003 Patients: Results at a High-Volume Bariatric Center

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Abstract

Background

Laparoscopic sleeve gastrectomy (LSG) is gaining wide acceptance as a single surgical treatment for obesity. The reported morbidity and mortality rates are low. We herein report the results of LSG performed in a high-volume center by an experienced team.

Methods

Retrospective analysis of a prospectively maintained database of all bariatric surgery (BS) was performed between May 2006 and December 2014. Data inspected included operative time, length of hospital stay (LOS), comorbidity resolution, re-operation, percent excess weight loss (%EWL), and 30-day morbidity and mortality.

Results

In the study period, 3003 patients underwent BS (1901 (63 %) female). Mean age and body mass index (BMI) were 43 years (range 14–73) and 42.8 kg/m2 (range 35–73), respectively. %EWL at 1 year was 72 % (n = 937; 57 % follow-up rate). There was 1 perioperative mortality due to bleeding (0.03 %). Comorbidity improvement and resolution were 98 % for obstructive sleep apnea, 79 % for diabetes mellitus, 87 % for dyslipidemia, and 85 % for hypertension. Mean operative time and LOS were 50 min (range 32–94) and 2.2 days (range 1–38), respectively. Of the patients, 132 had complications (4.4 %), 25 leaks (0.83 %), 63 bleeding (2.1 %), 1 intra-abdominal abscesses (0.03 %), 3 sleeve strictures (0.1 %), 2 mesenteric vein thromboses (0.06 %), 10 trocar site hernias (0.3 %), and 78 symptomatic cholelithiasis (2.6 %). Re-operation was needed in 13 patients (0.43 %).

Conclusion

In a high-volume center with an experienced team, LSG can be performed with low morbidity and mortality.

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Authors and Affiliations

  1. Israeli Center for Bariatric Surgery (ICBS), Assia Medical Group, Assuta Medical Center, Tel Aviv, Israel

    Nasser Sakran, Asnat Raziel, Amir Szold & David Goitein

  2. Department of Surgery A, Emek Medical Center, Afula, Israel

    Nasser Sakran

  3. Technion–Israel Institute of Technology, Haifa, Israel

    Nasser Sakran

  4. Department of Diagnostic Imaging, Chaim Sheba Medical Center, Tel Hashomer, Israel

    Orly Goitein

  5. Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

    Orly Goitein & David Goitein

  6. Department of Surgery C, Chaim Sheba Medical Center, Tel Hashomer, Israel

    David Goitein

Authors
  1. Nasser Sakran
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  2. Asnat Raziel
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  3. Orly Goitein
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  4. Amir Szold
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  5. David Goitein
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Corresponding author

Correspondence to Nasser Sakran.

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Conflict of Interest Disclosures

Drs. Sakran, Raziel, Szold, and Goitein have no conflicts of interest or financial ties to disclose.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Sakran, N., Raziel, A., Goitein, O. et al. Laparoscopic Sleeve Gastrectomy for Morbid Obesity in 3003 Patients: Results at a High-Volume Bariatric Center. OBES SURG 26, 2045–2050 (2016). https://doi.org/10.1007/s11695-016-2063-x

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  • DOI: https://doi.org/10.1007/s11695-016-2063-x

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