Serdar YORMAZ, İlhan ECE, Bayram ÇOLAK, Hüseyin YILMAZ, Hüsnü ALPTEKİN, Fahrettin ACAR, M. Ertugrul KAFALI, Mustafa ŞAHİN

Laparoskopik sleeve gastrektomide stapler hattında uygulanan barbed sütur ve fibrin adhezivlerin etkisinin kıyaslanması: retrospektif çalışma

Amaç:Araştırmamızda morbid obezite nedeniyle laparoskopik sleeve gastrektomi uygulanan ve stapler hattına destek süturu konan veya fibrin adheziv kullanılan hastaların sonuçlarını değerlendirmeyi amaçladık.Gereç ve Yöntem:Bariatrik cerrahi kliniğimizde mayıs 2014 ile temmuz 2016 tarihleri arasında morbid obezite nedeniyle laparoskopik sleeve gastrektomi uygulanan ve stapler hattına sütur konan ve adheziv konan 86 hasta retrospektif olarak incelendi. Hasta profilinin demografik bulguları, operasyon süreleri, komplikasyon tipleri, oranları, hastanede kalış süreleri değerlendirildi. Çalışma grubumuzdaki hastalar vücut kitle indeksi, yaş, cinsiyet ve sayı açısından benzerlik olduğu için randomize olarak kabul edildiler. İstatistiksel olarak anlamlı sonuçlar p<0.05 olarak kabul edildi.Bulgular:Çalışmaya katılan hastaların ortalama yaşı 37.12±5.51 (yaş aralığı 23–57), ortalama VKİ 46.3±4.7 kg/m2 (aralığı 41–59) idi. Ortalama ameliyat süresi 87.9±16.1 dakika olarak hesaplandı. Operasyonun ortalama süresi 72.5 ±12.7 dakika (25–102 dakika aralığı) idi. Postoperatif dönemde ortalama hastanede kalış süresi ise 5.23±1.22 gün (3–8gün aralığı) olarak bulundu. Ameliyat sonrası 4 hastada komplikasyon gelişirken, herhangi bir hastada majör komplikasyon veya mortalite görülmedi. Operasyonların hepsi laparoskopik olarak sonlandırıldı.Sonuç: Bariatrik cerrahide staplerle uygulanan obezite cerrahisinde stapler hattının özellikle barbed sütur ile desteklenmesi operasyonun güvenilirliğini artırıp komplikasyon oranını azaltmaktadır.

Anahtar Kelimeler:

Sleeve gastrektomi, barbed sütur, fibrin adheziv.

Comparison of the effect of barbed suture and fibrin adhesives on laparoscopic sleeve gastrectomy stapler line: retrospective study

Purpose: We aimed to evaluate the results of patients who underwent laparoscopic sleeve gastrectomy due to morbid obesity in our study and who used fibrin adhesive or suture anchored in the stapler line.Material and Methods:In our bariatric surgery clinic, between May 2014 and July 2016, of 86 patients who underwent laparoscopic sleeve gastrectomy due to morbid obesity and were treated with sutures and adhesions in the stapler line were retrospectively studied. Demographic findings, duration of operation, types of complications, rates and duration of hospital stay were evaluated. Patients in our study group were considered to be randomized because of similarity in terms of age, sex, body mass index and number. Statistically significant results were accepted as p <0.05.Results:The mean age of the participants in the study was 37.12 ± 5.51 (mean age range 23-57), mean BMI 46.3 ± 4.7 kg / m2 (range 41-59). The mean duration of operation was calculated as 87.9 ± 16.1 minutes. The mean duration of the operation was 72.5 ± 12.7 minutes (range 25-102 minutes). Mean postoperative hospital stay was 5.23 ± 1.22 days (range 3-8 days). Complications were observed in 4 patients after surgery, and no major complication or mortality was seen in any patient. All of the operations were terminated laparoscopicallyConclusion:Supporting the stapler line with barbed suture in the bariatric surgeon's obesity surgeon increases the reliability of the operation and reduces the complication rate.

Keywords:

Sleeve gastrectomy, barbed suture, fibrin adhesive.,

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