Evaluation of operative complications in obese patients who underwent laparoscopic sleeve gastrectomy: Single-center experience

Özet

Introduction: The complications experienced during and after surgery in patients who underwent laparoscopic sleeve gastrectomy for obesity treatment in 1 clinic were analyzed.Materials and Methods: The demographic and clinical data of all patients who underwent bariatric surgerywith the diagnosis of obesity in the Kahramanmaras Sütçü İmam University Faculty of Medicine GeneralSurgery Department between April 2008 and June 2016 were examined retrospectively by reviewing thehospital information system and patient files. Complications experienced during and after the operationwere examined in 431 patients who underwent laparoscopic sleeve gastrectomy. The complications weredivided into peroperative and postoperative types. Deaths within the first 30 days were considered operational mortality.Results: Hemorrhage was detected in 13 patients and anastomosis leakage in 2 patients as a perioperativecomplication. In 51 patients, 1 or more complications developed postoperatively. In all, 20 patients experienced hemorrhage, 12 had anastomotic leakage, 12 had pneumonia, 10 had intra-abdominal abscess,5 had a wound infection, 2 had a pulmonary embolism, and small bowel necrosis, portal vein thrombosis,myocardial infarction, and small bowel perforation was each seen in 1 patient. Postoperative mortality wasobserved in 6 patients (1.39%).Conclusion: Laparoscopic sleeve gastrectomy is currently the most common, popular surgical procedure inthe appropriate obese patient group in terms of results. Like any surgical procedure, however, it cannot besaid that laparoscopic sleeve gastrectomy is completely free of the risk of complications.