Prof. Dr. Halil Coşkun published the successful results of his first 1000 sleeve gastrectomy cases in one of the most prestigious journals in the world, Surgical Endoscopy. The details of the study are provided below; (Original and Turkish)
Prof. Dr. Halil Coskun & Dr. Erkan Yardımcı
Submission Date: May 21, 2016/Acceptance Date: August 23, 2016 Springer Science+Business Media New York 2016
OBJECTIVE: The concerns and feared complications after Laparoscopic Sleeve Gastrectomy (LSG – Sleeve Gastrectomy) in morbidly obese patients are leaks and bleeding from the stapler line. The aim of this study is to present the clinical findings of fibrin glue use in the standard LSG surgery.
METHOD: Morbidly obese patients who underwent standard LSG surgery with fibrin glue were included in the study. Demographic variables (age, gender, body mass index (kg/m²), and comorbidities), hospital readmission rates, bleeding, leaks, rotation, and early postoperative complications such as narrowing were evaluated within the follow-up period.
RESULTS: A total of 1,000 patients (586 women (X.6)) with an average age of 42.6±13.6 underwent LSG. Fibrin glue was used in all surgeries. 186 patients (_ .6) had previous abdominal surgeries. The average surgery time was 72±19 minutes, and the average hospital stay was 3.2±1.1 days. Only 3 patients (%0.3) experienced bleeding. No leaks, rotation, or narrowing were observed in any patients. The hospital readmission rate was 0.5%. No mortality was observed.
DISCUSSION: This retrospective study shows that bariatric surgeons should apply the standard surgical technique to reduce postoperative complications in LSG surgeries. Fibrin glue is a reliable and useful tool for strengthening the stapler line and preventing potential rotations (twisting) that could occur in LSG.
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