Effective and Safe Outcome of Sleeve Gastrectomy Performed by Experienced Gastric Surgeon

Abstract

Purpose: Sleeve gastrectomy (SG) is an emerging approach, but there have been a surge in popularity because of its perceived technical simplicity, feasibility, and good outcomes. We describe results of a single fully experienced gastric surgeon’s short-term outcomes of laparoscopic sleeve gastrectomy (LSG) and robotic sleeve gastrectomy (RSG) for morbidly obese patients.

Materials and Methods: We retrospectively reviewed 20 patients underwent LSG and RSG from July 2010 to February 2014.

Results: The mean age was 36.3±10.1 years, the mean preoperative body mass index (BMI) was 37.3±5.4 kg/m2. Mean operative time was 124.4±36.2 min. The postoperative length of stay was 5.1±4.1 day. There was no open conversion and mortality, nor severe postoperative complication found in the LSG and RSG cases. The mean BMI decreased to 26.1±2.5 kg/m2 at 1 year and the mean percentage excess weight loss was 69.8±24.9% at 1 year.

Conclusion: Effective weight loss without complication would be achieved by sleeve gastrectomy if the procedure is performed by experienced gastric surgeon. However, further well-designed comparative studies with larger sample size are warranted to prove this preliminary result.