天美传媒

Abstract

Laparoscopic sleeve gastrectomy (LSG) is gaining acceptance among bariatric surgeons as a viable option for treating morbidly
obese patients. We describe results of a single surgeon’s experience with LSG, its intra-operative, early and late complications and
their management. We retrospectively reviewed the data of patients who underwent LSG from 2006 to 2015. Patients underwent
LSG as a primary procedure or as revisional bariatric surgery. The short-term morbidity and mortality were examined. All patients
entering our practice, requesting bariatric surgery, were offered three procedure options: laparoscopic gastric bypass, adjustable gastric
banding, and LSG. After a one-on-one consultation with the surgeon, the patients made an informed decision to undergo LSG, and
an informed consent was obtained. All patients were required to undergo a psychological screening, routine labs, electrocardiogram,
upper gastrointestinal X-rays, pulmonary function studies, and a medical evaluation. All patients were scheduled for LSG as a primary
definitive procedure. All patients received intravenous antibiotics, subcutaneous unfractionated heparin and sequential compression
devices preoperatively. One-stage LSG was performed. The major complications were late leakage after 4 weeks, with hemorrhaging.
Two patients required reoperation & one patient was treated conservatively. Furthermore, one patient had complete Dysphagia,
and was treated conservatively. Moreover, one patient who had an injury to the lower esophagus was re-operated, intra-operatively.
One patient had mesenteric injury; another patient had an NG tube stapled, while a third patient’s GE junction blew up because
the balloon was inflated while doing the leak test. In addition, the serosal layer of ten patients came off while firing the first stapler.
However, in spite of the presence of many such complications, only one case was aborted. In conclusion, LSG is a relatively safe
surgical option for weight loss as a primary procedure.

Biography

Dr. Rohit Kumar has a vast experience in the fields of bariatric, gastrointestinal and general surgery. He has undergone training in laparoscopic bariatric surgery at Sir
Ganga Ram Hospital, advanced laparoscopic training in Greece, and has done a fellowship in hepatobiliary and pancreatic surgery in Japan. He has, amongst his patients,
a host of dignitaries, leaders, and foreign nationals. His areas of clinical interests include; Laparoscopic adjustable gastric banding, laparoscopic sleeve gastrectomy and
laparoscopic Roux en Y gastric bypass, lap cholecystectomy, laparoscopic appendix, laparoscopic hiatus hernia, laparoscopic splenectomy, laparoscopic nephrectomy,
laparoscopic colectomy, laparoscopic low anterior resection, laparoscopic gastrectomy, hepato-biliary and pancreatic surgery, laparoscopic inguinal hernia repaired and
laparoscopic esophagectomy. His special interests lie in Minimal Access Bariatric surgery and Gastrointestinal Onco Surgery.