A Simple Way to Estimate a Difficult Sleeve Gastrectomy Prior to Operating.
Difficult bariatric surgery
Laparoscopic sleeve gastrectomy
Subcutaneous fat tissue
Total fat tissue
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
Apr 2024
Apr 2024
Historique:
received:
23
08
2023
accepted:
07
02
2024
revised:
03
02
2024
medline:
19
4
2024
pubmed:
20
2
2024
entrez:
20
2
2024
Statut:
ppublish
Résumé
Today, bariatric procedures are common. These surgeries' difficulties are classified as patient- or surgical team-related and are estimated by body mass index (BMI). More efficient methods are needed to help surgeons. This study evaluated the effect of measuring patients' subcutaneous fat tissue thickness (SFT) and umbilicus-xiphoid (DXU) to anticipate surgical difficulties. This was a prospective retrospective data analysis study. Laparoscopic sleeve gastrectomy patients seen between May and October 2022 were included in the analysis and divided into three groups, according to a surgeon's assessment. All patients' SFT, DXU, rectus muscle thickness, total fat tissue amount (TFT), and operational time were recorded prospectively and analyzed. In all, 151 patients were included in the study; of these, 124 (82.1%) were women and 27 (17.9%) were men. Their mean BMI value was 41.1 ± 6.2. Based on expert's opinion, we classified three groups: easy (n = 123, 81.5%), intermediate (n = 22, 14.6%), or difficult (n = 6, 4%). When the easy group was compared to the intermediate/difficult groups, we found that intermediate/difficult groups' SFT values were statistically significantly higher than the easy group (p = 0.000). Also, the intermediate/difficult group's TFT value was statistically significantly higher than the easy group (p = 0.000). We found no statistically significant differences between groups' DXU and rectus muscle thickness. This is the first study to anticipate sleeve gastrectomy difficulty using SFT and TFT. This is an easy technique to apply and no additional costs. Anticipating difficulties based on these criteria can ensure necessary preparations are made and help avoid complications.
Sections du résumé
BACKGROUND
BACKGROUND
Today, bariatric procedures are common. These surgeries' difficulties are classified as patient- or surgical team-related and are estimated by body mass index (BMI). More efficient methods are needed to help surgeons. This study evaluated the effect of measuring patients' subcutaneous fat tissue thickness (SFT) and umbilicus-xiphoid (DXU) to anticipate surgical difficulties.
MATERIAL AND METHODS
METHODS
This was a prospective retrospective data analysis study. Laparoscopic sleeve gastrectomy patients seen between May and October 2022 were included in the analysis and divided into three groups, according to a surgeon's assessment. All patients' SFT, DXU, rectus muscle thickness, total fat tissue amount (TFT), and operational time were recorded prospectively and analyzed.
RESULTS
RESULTS
In all, 151 patients were included in the study; of these, 124 (82.1%) were women and 27 (17.9%) were men. Their mean BMI value was 41.1 ± 6.2. Based on expert's opinion, we classified three groups: easy (n = 123, 81.5%), intermediate (n = 22, 14.6%), or difficult (n = 6, 4%). When the easy group was compared to the intermediate/difficult groups, we found that intermediate/difficult groups' SFT values were statistically significantly higher than the easy group (p = 0.000). Also, the intermediate/difficult group's TFT value was statistically significantly higher than the easy group (p = 0.000). We found no statistically significant differences between groups' DXU and rectus muscle thickness.
CONCLUSION
CONCLUSIONS
This is the first study to anticipate sleeve gastrectomy difficulty using SFT and TFT. This is an easy technique to apply and no additional costs. Anticipating difficulties based on these criteria can ensure necessary preparations are made and help avoid complications.
Identifiants
pubmed: 38374321
doi: 10.1007/s11695-024-07093-9
pii: 10.1007/s11695-024-07093-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1159-1167Informations de copyright
© 2024. The Author(s).
Références
World J Surg. 2021 Aug;45(8):2521-2528
pubmed: 33934198
Obes Surg. 2004 Jun-Jul;14(6):750-4
pubmed: 15329968
Surg Obes Relat Dis. 2021 Jul;17(7):1369-1382
pubmed: 33741294
Surg Obes Relat Dis. 2013 Sep-Oct;9(5):816-29
pubmed: 23993246
Obes Surg. 2013 Dec;23(12):2013-7
pubmed: 23912263
Quant Imaging Med Surg. 2021 Nov;11(11):4569-4582
pubmed: 34737924
Obes Surg. 2020 Oct;30(10):3974-3981
pubmed: 32557384
Obes Surg. 1998 Jun;8(3):267-82
pubmed: 9678194
Obes Surg. 2018 Feb;28(2):469-473
pubmed: 28803397
Surg Endosc. 2020 Aug;34(8):3574-3583
pubmed: 32072290
Obes Surg. 2006 Nov;16(11):1450-6
pubmed: 17132410
Obes Surg. 2015 Jan;25(1):19-26
pubmed: 25092167
Arch Plast Surg. 2012 Sep;39(5):528-33
pubmed: 23094250
Obes Surg. 2019 Oct;29(10):3188-3194
pubmed: 31175560
Surg Obes Relat Dis. 2020 Feb;16(2):254-260
pubmed: 31843455