Gül BORA MAKAL

Laparoskopik Sleeve Gastrektomide Farklı Enerji Cihazlarının Postoperatif Komplikasyonlara Etkisi

Bu çalışmanın amacı, laparoskopik sleeve gastrektomi (LSG) uygulanan hastalarda LigaSure ™ ve Harmonic® el aletinin perioperatif sonuçlarını ve komplikasyon oranlarını karşılaştırmaktır. Mart 2015 ile Nisan 2020 arasında LSG uygulanan 152 morbid obez hasta çalışmaya dahil edildi. İntraoperatif ve postoperatif 30 günlük komplikasyonlar kullanılan enerji cihazı tipine göre karşılaştırıldı. Kategorik değişkenleri karşılaştırmak için Pearson's χ2 ve Fisher’s exact test kullanıldı. Sürekli verisi olan iki bağımsız grubu karşılaştırmak Mann-Whitney U testi (nonparametrik) kullanıldı. Postoperatif komplikasyonların risk faktörlerini belirlemek için Lojistik regresyon analizi yapıldı. 0.05 ten küçük p değeri istatistiksel olarak anlamlı kabul edildi. Totalde 136 hasta retrospektif olarak incelendi. İstatistiksel analiz iki grup arasında intraoperatif ve postoperatif komplikasyon oranlarında farklılık göstermedi (sırasıyla, p=786 ve p=0.966). Ligasure ™ 'de operasyon süresi daha kısa olmasına rağmen, istatistiksel olarak anlamlı bir fark yoktu (p=0.412). Postoperatif komplikasyonların gelişmesinde belirleyici faktör sadece vücut kitle indeksi (VKİ) saptandı (OR = 1.08, p = 0.026). LigaSure ™ ve Harmonic®'in LSG'de postoperatif komplikasyonların gelişimi üzerinde hiçbir etkisi yoktur. Cihaz seçimi cerrahın kişisel becerisine ve tercihine bağlıdır.

Anahtar Kelimeler:

Harmonic®, enerji cihazı, laparoskopik sleeve gastrektomi, postoperatif komplikasyon, Ligasure ™

The Effect of Different Energy Devices on Postoperative Complications in Laparoscopic Sleeve Gastrectomy

The aim of this study is to compare the perioperative results and complication rates of LigaSure ™ and Harmonic® scalpel in patients undergoing laparoscopic sleeve gastrectomy (LSG). 152 morbidly obese patients who underwent LSG between March 2015 and April 2020 were included in the study. Intraoperative and postoperative 30-day complications were compared according to the type of energy device used. Comparisons were performed using Pearson's χ2 or Fisher’s exact test for categorical variables. Continuous data between two independent groups were analyzed using the Mann Whitney U test (nonparametric). Logistic regression analysis was performed to identify risk factors of postoperative complications. A p value less than 0.05 was considered statistically significant. A total of 136 patients were analyzed retrospectively. Statistical analysis did not differ between the two groups in intraoperative and postoperative complication rates (p=786 and p=0.966, respectively). Although the operation time was shorter in Ligasure ™, there was no statistically significant difference (p=0.412). The determining factor in the development of postoperative complications was only body mass index (BMI) (OR = 1.08, p = 0.026). LigaSure ™ and Harmonic® have no effect on the development of postoperative complications in LSG. The choice of device depends on the surgeon's personal skill and preference.

Keywords:

LigaSure™, Harmonic®, energy device, laparoscopic sleeve gastrectomy, Postoperative Complication,

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