Does Omentopexy Make a Difference in Laparoscopic Sleeve Gastrectomy for Obesity Treatment? A Systematic Review and Meta-Analysis

被引：2
|
作者：
Mohamedahmed, Ali Yasen Y. [1 ]
Hamid, Mohammed [2 ]
Zaman, Shafquat [3 ,4 ]
Abdalla, Hashim E. [1 ]
Wuheb, Ali Ahmed [1 ]
Khan, Amir [5 ]
Parmar, Jitesh [1 ]
机构：
[1] New Cross Hosp, Royal Wolverhampton NHS Trust, Dept Gen & Upper GI Surg, Wolverhampton, England
[2] Dudley Grp NHS Trust, Dept Gen Surg, Dudley, England
[3] Birmingham Hosp NHS Trust, Dept Gen Surg Sandwell & West, Birmingham, England
[4] Univ Birmingham, Inst Canc & Genom Sci, Coll Med & Dent Sci, Birmingham, England
[5] Walsall Manor Hosp, Dept Gen Surg, Walsall, England
来源：
OBESITY SURGERY | 2024年 / 34卷 / 01期
关键词：
Sleeve gastrectomy; Omentopexy; Gastric leak; MORBID-OBESITY; GASTRIC LEAKS; COMPLICATIONS; MANAGEMENT; EXPERIENCE;
D O I：
10.1007/s11695-023-06956-x
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
This systematic review and meta-analysis aimed to evaluate the comparative outcomes of laparoscopic sleeve gastrectomy with omentopexy (LSGO) versus conventional laparoscopic sleeve gastrectomy (LSG) for obesity treatment. A systematic online search was conducted using the available online databases, and Revman software was used for data analysis. Twenty-two eligible comparative studies were included (n = 9,321). LSGO showed a significantly lower rate of gastric leak (P = 0.0001), staple line bleeding (P = 0.00001), and gastric torsion (P = 0.002) in comparison to the LSG group. Operative time was significantly shorter in the LSG group (P = 0.00001); however, the length of hospital stay was in favour of the LSGO (P = 0.00001). Compared to LSG without omentopexy, LSG with omentopexy provides a significantly lower rate of postoperative complications and shorter LOS at the expense of operative time.
引用
收藏
页码：218 / 235
页数：18
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