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No, Kim, Kim, Cho, Choi, Hur, and Kim: Initial Experience of Laparoscopic Sleeve Gastrectomy in Morbidly Obese Patients
Original Article
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2010; 79(6): 460-466.

Published online: 31 December 2010

DOI: https://doi.org/10.4174/jkss.2010.79.6.460

Initial Experience of Laparoscopic Sleeve Gastrectomy in Morbidly Obese Patients

Jung Ho No, M.D., Zisun Kim, M.D., Yong Jin Kim, M.D., Sung Woo Cho, M.D., Dong Ho Choi, M.D., Kyung Yul Hur, M.D., Jae Joon Kim, M.D.

Department of Surgery, Soonchunhyang University College of Medicine, Seoul, Korea.

Corresponding author (yjkim@hosp.schmc.ac.kr)

Received 7 September 2010       Accepted 9 October 2010

Copyright © 2010 The Korean Surgical Society

Abstract

Purpose

Laparoscopic sleeve gastrectomy (LSG) is rapidly gaining ground as one of the surgical procedures in bariatric surgery with emerging long-term follow-up data. The aim of the present study was to report our initial experience of LSG in morbidly obese patients.

Methods

Sixty-four consecutive patients underwent LSG from April 2009 to July 2010 at our bariatric surgery center. Patients eligible for LSG were those with a body mass index (BMI) of >37 kg/m2, and >32 kg/m2 with co-morbidities. LSG was performed using 5 trocars and endo-staplers with guidance of 34 Fr bougie. Perioperative management was standardized. The clinical data were prospectively collected and retrospectively analyzed.

Results

Among 64 patients, 19 were male and 45 were female, mean age was 35 years (range 20~57), mean preoperative BMI was 38.8 kg/m2 (range 32~57), and mean preoperative body weight was 108 kg (range 75~164). Mean operative time was 118 minutes (range 65~340) and mean length of hospital stay was 3.4 days (range 1~82). Staple line leak occurred in 1 patient, kinking of the gastric tube occurred in 2 patients. There was no open conversion and no postoperative mortality. After 170 days of follow-up, 24.4 kg of body weight loss and 52.7% of excess weight loss (%EWL), on average, was noted.

Conclusion

Though long-term follow-up is needed, our early operative outcome was satisfactory in terms of %EWL and safety of the procedure. LSG was a safe and effective treatment strategy for morbidly obese patients.

Keywords: Sleeve gastrectomy, Morbid obesity

Figures and Tables

Fig. 1
Laparoscpic sleeve gastrectomy was performed using 5 trocars. The position and size of trocars are illustrated.
jkss-79-460-g001
Fig. 2
Resected gastric specimen (A) and water-soluble contrast swallow study on postoperative day 1 (B) were shown. The greater curvature and the posterior wall of stomach were properly removed (B).
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Fig. 3
Evolution of percentage of excess weight loss and body mass index after laparoscopic sleeve gastrectomy.
jkss-79-460-g003
Table 1
Summary of preoperative patient characteristics
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*Co-morbidity = diabetes, hypertension, hyperlipidemia, sleep apnea, degenerative joint disease.

Table 2
Parameters related to the operation
jkss-79-460-i002
Table 3
Weight loss outcomes after laparoscopic sleeve gastrectomy
jkss-79-460-i003

*%EWL = percentage of excess weight loss; †NA = not applicable; ‡%EBMIL = percentage of excess body weight index loss; %EBMIL = (preoperative BMI-current BMI)/(preoperative BMI-25)×100.

Table 4
Evolution of percentage of excess weight loss and body mass index after laparoscopic sleeve gastrectomy.
jkss-79-460-i004

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