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|Aberdeen Royal Infirmary, UK|
|Posters & Accepted Abstracts: J Obes Weight Loss Ther|
|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: The objective is to devise and describe a modified, strapless 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 strapless. The primary analysis was the occurrence of leak post-operation. The secondary analyses 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: Strapless LSG is an affordable alternative to the standard LSG techniques, both in terms of financial costs and complications rate.|
Matteo Catanzano has completed his MBChB from the University of Glasgow. Currently, he is pursuing his training as a part of the Bariatric Surgery team in the Aberdeen Royal Infirmary, UK.
Email: [email protected]
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