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Laparoscopic Sleeve Gastrectomy for Morbid Obesity in 3003 Patients: Results at a High-Volume Bariatric Center
by
Goitein, Orly
, Raziel, Asnat
, Sakran, Nasser
, Szold, Amir
, Goitein, David
in
Abdominal Abscess
/ Adolescent
/ Adult
/ Aged
/ Comorbidity
/ Female
/ Gastrectomy - methods
/ Gastrectomy - utilization
/ Gastrointestinal surgery
/ Humans
/ Israel
/ Laparoscopy
/ Laparoscopy - methods
/ Laparoscopy - utilization
/ Male
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Obesity
/ Obesity, Morbid - mortality
/ Obesity, Morbid - surgery
/ Original Contributions
/ Postoperative Complications
/ Reoperation
/ Retrospective Studies
/ Surgery
/ Treatment Outcome
/ Weight Loss
/ Young Adult
2016
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Laparoscopic Sleeve Gastrectomy for Morbid Obesity in 3003 Patients: Results at a High-Volume Bariatric Center
by
Goitein, Orly
, Raziel, Asnat
, Sakran, Nasser
, Szold, Amir
, Goitein, David
in
Abdominal Abscess
/ Adolescent
/ Adult
/ Aged
/ Comorbidity
/ Female
/ Gastrectomy - methods
/ Gastrectomy - utilization
/ Gastrointestinal surgery
/ Humans
/ Israel
/ Laparoscopy
/ Laparoscopy - methods
/ Laparoscopy - utilization
/ Male
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Obesity
/ Obesity, Morbid - mortality
/ Obesity, Morbid - surgery
/ Original Contributions
/ Postoperative Complications
/ Reoperation
/ Retrospective Studies
/ Surgery
/ Treatment Outcome
/ Weight Loss
/ Young Adult
2016
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Laparoscopic Sleeve Gastrectomy for Morbid Obesity in 3003 Patients: Results at a High-Volume Bariatric Center
by
Goitein, Orly
, Raziel, Asnat
, Sakran, Nasser
, Szold, Amir
, Goitein, David
in
Abdominal Abscess
/ Adolescent
/ Adult
/ Aged
/ Comorbidity
/ Female
/ Gastrectomy - methods
/ Gastrectomy - utilization
/ Gastrointestinal surgery
/ Humans
/ Israel
/ Laparoscopy
/ Laparoscopy - methods
/ Laparoscopy - utilization
/ Male
/ Medicine
/ Medicine & Public Health
/ Middle Aged
/ Obesity
/ Obesity, Morbid - mortality
/ Obesity, Morbid - surgery
/ Original Contributions
/ Postoperative Complications
/ Reoperation
/ Retrospective Studies
/ Surgery
/ Treatment Outcome
/ Weight Loss
/ Young Adult
2016
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Laparoscopic Sleeve Gastrectomy for Morbid Obesity in 3003 Patients: Results at a High-Volume Bariatric Center
Journal Article
Laparoscopic Sleeve Gastrectomy for Morbid Obesity in 3003 Patients: Results at a High-Volume Bariatric Center
2016
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Overview
Background
Laparoscopic sleeve gastrectomy (LSG) is gaining wide acceptance as a single surgical treatment for obesity. The reported morbidity and mortality rates are low. We herein report the results of LSG performed in a high-volume center by an experienced team.
Methods
Retrospective analysis of a prospectively maintained database of all bariatric surgery (BS) was performed between May 2006 and December 2014. Data inspected included operative time, length of hospital stay (LOS), comorbidity resolution, re-operation, percent excess weight loss (%EWL), and 30-day morbidity and mortality.
Results
In the study period, 3003 patients underwent BS (1901 (63 %) female). Mean age and body mass index (BMI) were 43 years (range 14–73) and 42.8 kg/m
2
(range 35–73), respectively. %EWL at 1 year was 72 % (
n
= 937; 57 % follow-up rate). There was 1 perioperative mortality due to bleeding (0.03 %). Comorbidity improvement and resolution were 98 % for obstructive sleep apnea, 79 % for diabetes mellitus, 87 % for dyslipidemia, and 85 % for hypertension. Mean operative time and LOS were 50 min (range 32–94) and 2.2 days (range 1–38), respectively. Of the patients, 132 had complications (4.4 %), 25 leaks (0.83 %), 63 bleeding (2.1 %), 1 intra-abdominal abscesses (0.03 %), 3 sleeve strictures (0.1 %), 2 mesenteric vein thromboses (0.06 %), 10 trocar site hernias (0.3 %), and 78 symptomatic cholelithiasis (2.6 %). Re-operation was needed in 13 patients (0.43 %).
Conclusion
In a high-volume center with an experienced team, LSG can be performed with low morbidity and mortality.
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