Does omentopexy make a difference in laparoscopic sleeve gastrectomy for obesity treatment? A systematic review and meta-analysis
Mohamedahmed, Ali Yasen Y Hamid, Mohammed Zaman, Shafquat Abdalla, Hashim E Wuheb, Ali Ahmed Khan, Amir Parmar, Jitesh
Mohamedahmed, Ali Yasen Y
Hamid, Mohammed
Zaman, Shafquat
Abdalla, Hashim E
Wuheb, Ali Ahmed
Khan, Amir
Parmar, Jitesh
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Affiliation
The Royal Wolverhampton NHS Trust; The Dudley Group NHS Trust; Sandwell and West Birmingham Hospitals NHS Trust; University of Birmingham; Walsall Healthcare NHS Trust
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Publication date
2023-12-01
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Abstract
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.
Citation
Mohamedahmed AYY, Hamid M, Zaman S, Abdalla HE, Wuheb AA, Khan A, Parmar J. Does Omentopexy Make a Difference in Laparoscopic Sleeve Gastrectomy for Obesity Treatment? A Systematic Review and Meta-Analysis. Obes Surg. 2024 Jan;34(1):218-235. doi: 10.1007/s11695-023-06956-x. Epub 2023 Dec 1. PMID: 38038906.
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Article