Prediction of Intraoperative Difficulties in Patients Undergoing Laparoscopic Vertical Sleeve Gastrectomy
Background: The laparoscopic vertical sleeve gastrectomy is a safe and effective treatment that may improve quality of life and reduce morbidity and mortality associated with morbid obesity.
Materials and methods: A cross sectional study was conducted in the third unit of the surgical department of Baghdad teaching hospital and a private hospital from (the 2nd of November 2019 to the 30th of January of 2020), a hundred patients who wished to do LVSG for their morbid obesity were involved in this study, four factors was measured for these patients including gender, BMI, WHR and liver span by ultrasound.
The duration of the surgery was calculated for each patient starting from the insertion of the first port till the firing of the last endo GIA cartridge.
Results: There were no significant differences in the mean duration of surgery in relation to BMI (p=0.178), also the mean operation time had no significant difference with different gender (p=0.244). The mean operation time in patients with liver span ≤ 16 cm was lower than the mean operation time in patients with liver span>16 cm groups (p=0.0001). Also, the mean operation time in patients with peripherally obese was lower than the mean operation time in patients with centrally obese (p=0.0001).
Conclusion: Factors such as liver size and central obesity might lead to difficulties during LVSG whereas factors such as gender and BMI show no possible relation to difficulty.