Authors: Joshua B Alley Stephen J Fenton Michael C Harnisch Michael N Angeletti Richard M Peterson
Publish Date: 2010/11/19
Volume: 21, Issue: 8, Pages: 1311-1315
Abstract
Division of the stomach in laparoscopic sleeve gastrectomy may be performed using bare stapler cartridges or cartridges fitted with tissue reinforcement strips with or without oversewing Many tissue reinforcement strips are aftermarket addon products that must be fitted onto a stapler during surgery A retrospective review was conducted of 85 consecutive patients undergoing laparoscopic sleeve gastrectomy using a novel integrated bioabsorbable polymer buttress premounted on a singleuse loading unit stapler Mean preoperative body mass index BMI was 417 ± 52 kg/m2 Morbidity and shortterm outcomes were documented Mean followup was 81 ± 36 months range 10–162 months There were no mortalities or staple line leaks noted in this series with shortterm follow up The major complication rate grade III and above was 71 and included reoperation for staple line bleeding 24 n = 2 gastric sleeve stenosis requiring balloon dilation 24 n = 2 choledocholithiasis 2 weeks after surgery 12 n = 1 and reoperation without abnormality for suspected perioperative obstruction 12 n = 1 Mean percent excess BMI loss at 3 446 ± 113 6 579 ± 172 and 12 months 724 ± 275 was comparable to other published series The use of an integrated absorbable synthetic polymer for stapled tissue reinforcement in laparoscopic sleeve gastrectomy appears to be feasible and safe and yields results consistent with other published techniques
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