Does omentopexy make a difference in laparoscopic sleeve gastrectomy for obesity treatment? A systematic review and meta-analysis
Mohamedahmed, Ali Yasen Y Hamid, Mohammed Zaman, Shafquat Abdalla, Hashim E Wuheb, Ali Ahmed Khan, Amir Parmar, Jitesh
Mohamedahmed, Ali Yasen Y
Hamid, Mohammed
Zaman, Shafquat
Abdalla, Hashim E
Wuheb, Ali Ahmed
Khan, Amir
Parmar, Jitesh
Abstract
This systematic review and meta-analysis aimed to evaluate the comparative outcomes of laparoscopic sleeve gastrectomy with omentopexy (LSGO) versus conventional laparoscopic sleeve gastrectomy (LSG) for obesity treatment. A systematic online search was conducted using the available online databases, and Revman software was used for data analysis. Twenty-two eligible comparative studies were included (n = 9,321). LSGO showed a significantly lower rate of gastric leak (P = 0.0001), staple line bleeding (P = 0.00001), and gastric torsion (P = 0.002) in comparison to the LSG group. Operative time was significantly shorter in the LSG group (P = 0.00001); however, the length of hospital stay was in favour of the LSGO (P = 0.00001). Compared to LSG without omentopexy, LSG with omentopexy provides a significantly lower rate of postoperative complications and shorter LOS at the expense of operative time.
MIDER Authors
Affiliations
The Royal Wolverhampton NHS Trust; The Dudley Group NHS Trust; Sandwell and West Birmingham Hospitals NHS Trust; University of Birmingham; Walsall Healthcare NHS Trust
Citations
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Date
2023-12-01
Type
Article
Subject
Collections
Citation
Mohamedahmed AYY, Hamid M, Zaman S, Abdalla HE, Wuheb AA, Khan A, Parmar J. Does Omentopexy Make a Difference in Laparoscopic Sleeve Gastrectomy for Obesity Treatment? A Systematic Review and Meta-Analysis. Obes Surg. 2024 Jan;34(1):218-235. doi: 10.1007/s11695-023-06956-x. Epub 2023 Dec 1. PMID: 38038906.