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• W2037222076 abstract "Background and Objectives:Laparoscopic sleeve gastrectomy is gaining popularity as a bariatric procedure, with outcomes similar to gastric band and gastric bypass. Staple-line disruption is a significant source of morbidity and death. We aim to evaluate the effect of staple-line reinforcement on the gastric leak rate, morbidity, and mortality rate.Methods:A systematic review was performed using title key words “sleeve gastrectomy,” and articles were reviewed for description of operative technique and postoperative outcomes including staple-line leak. Rates of leak, bleeding, surgical-site infection, reintervention, readmission, and mortality were analyzed. We calculated pooled event rates and 95% confidence intervals using fixed-effects modeling to determine differences between the reinforcement group (group A) and non-reinforcement group (group B).Results:We identified 390 articles, and 30 met the inclusion criteria. Group A had 3293 patients, and group B had 1588 patients. After heterogeneity calculations, 9 variables met the criteria to be analyzed. The leak rate was 3.9% (95% confidence interval, 2.9%–5.5%) in group A and 3.2% (95% confidence interval, 2.8%–4.1%) in group B. The mortality rate was 0.8% (95% confidence interval, 0.4%–1.5%) in group A and 0.7% (95% confidence interval, 0.4%–1.1%) in group B. Our results also showed no statistical difference for any of our other 7 outcome variables.Conclusion:Our study shows a lack of statistical difference in leak rate, overall morbidity, or mortality rate in laparoscopic sleeve gastrectomy with or without staple-line reinforcement. Because of study limitations, we propose that prospective trials are needed to determine the effect of staple-line reinforcement on leak rates." @default.
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• W2037222076 date "2013-01-01" @default.
• W2037222076 modified "2023-10-02" @default.
• W2037222076 title "A Systematic Review of Staple-Line Reinforcement in Laparoscopic Sleeve Gastrectomy" @default.
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• W2037222076 doi "https://doi.org/10.4293/108680813x13654754534639" @default.
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