Matteo Catanzano
Department of Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
Title: Stapless laparoscopic sleeve gastrectomy: reasoning and technical insights
Biography
Biography: Matteo Catanzano
Abstract
Introduction: Laparoscopic sleeve gastrectomy (LSG) with staple line reinforcement (SLR) is a popular and safe treatment option for morbid obesity, yet its benefits remain inaccessible to many, especially in developing countries, due to the high cost of the equipment required.
Objective: Devise and describe a modified, stapless laparoscopic sleeve gastrectomy that is as safe as standard LSG with SLR, but costs less.
Methods: Analysis of the influence of technical adaptations on the outcome of LSG was performed in a case–series of 3 patients. The main modification adapted was performing the closure of the stomach stapless. The primary outcome was the occurrence of leak post-op. The secondary outcomes were: operative time, prolonged hospital stay, % excess weight loss at 6 months and 12 months.
Results: Median operative time and hospital stay were 132 min and 2 days. No post-op leaks were recorded. The median excess weight loss at 6 months was 39% and at 1 year 57.7%.
Conclusion: Stapless LSG is an affordable alternative to the standard LSG techniques, both in terms of financial costs and complications rate