Does Omentopexy Make a Difference in Laparoscopic Sleeve Gastrectomy for Obesity Treatment? A Systematic Review and Meta-Analysis

• Published in: Obesity surgery Vol. 34; no. 1; pp. 218 - 235
• Main Authors: Mohamedahmed, Ali Yasen Y., Hamid, Mohammed, Zaman, Shafquat, Abdalla, Hashim E., Wuheb, Ali Ahmed, Khan, Amir, Parmar, Jitesh
• Format: Journal Article
• Language: English
• Published: New York Springer US 2024; Springer Nature B.V
• Subjects: Body mass index; Comparative studies; Gastroesophageal reflux; Gastrointestinal surgery; Hospitals; Intervention; Laparoscopy; Length of stay; Liver cirrhosis; Medicine; Medicine & Public Health; Metabolism; Morbidity; Mortality; Obesity; Patients; Review; Surgery; Systematic review; Weight control; Gastric leak; Omentopexy; Sleeve gastrectomy
• ISSN: 0960-8923; 1708-0428
• DOI: 10.1007/s11695-023-06956-x

   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.