Comparison of the Outcomes of Two Different Techniques For Laparoscopic Sleeve Gastrectomy

Objective In a single center, we aimed to evaluate the results of two different LSG techniques applied by a single surgeon in terms of long-term nausea, vomiting, and weight loss. Methods The data prospectively collected after LSG procedures performed two different techniques between 2015 and 2018 were retrospectively analyzed. Group 1: commonly used standard technique, Group 2: performed by starting to fire stapler 2 cm distance from pylor with 15–20 degrees external angle and not using tissue adhesive material. The age, gender, operative time, length of hospital stay, postoperative long-term nausea-vomiting complaint, leak, preoperative and postoperative BMI (body mass index), 6th month and 1st year EWL-TBWL values, and mortality data of the patients who were divided into two as group 1 and group 2. Results Of the patients, 22.5% ( n =73) were male, and 77.5% ( n =251) were female. Of the patients, 46.3% ( n =150) were group 1 patients, and 53.7% ( n =174) were group 2 patients. Operation time and length of hospital stay have been found longer in group 1 patients (62.87 min −3 , 85 days) than in group 2 patients (55.20 min −3 , 16 days) ( p =0.01) (Table 2 ). There has been no statistically significant difference on 6th month EWL levels between group 1 and group 2 ( p =0.76). The patients in group 1 had a vomiting and nausea rate of 60%, while group 2 patients had a vomiting rate of 31.6% ( p =0.01). Conclusion The second technique was found to be superior to the first technique when evaluated in terms of nausea-vomiting rate, operative time, and discharge time.