Does Omentopexy Make a Difference in Laparoscopic Sleeve Gastrectomy for Obesity Treatment? A Systematic Review and Meta-Analysis
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 databa...
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| Published in | Obesity surgery Vol. 34; no. 1; pp. 218 - 235 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
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New York
Springer US
2024
Springer Nature B.V |
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| 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. |
|---|---|
| AbstractList |
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. 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. |
| Author | Zaman, Shafquat Abdalla, Hashim E. Hamid, Mohammed Mohamedahmed, Ali Yasen Y. Wuheb, Ali Ahmed Khan, Amir Parmar, Jitesh |
| Author_xml | – sequence: 1 givenname: Ali Yasen Y. orcidid: 0000-0002-1219-7571 surname: Mohamedahmed fullname: Mohamedahmed, Ali Yasen Y. email: Dr.aliyasen1@gmail.com organization: Department of General and Upper GI Surgery, The Royal Wolverhampton NHS Trust, New Cross Hospital – sequence: 2 givenname: Mohammed surname: Hamid fullname: Hamid, Mohammed organization: Department of General Surgery, The Dudley Group NHS Trust – sequence: 3 givenname: Shafquat surname: Zaman fullname: Zaman, Shafquat organization: Department of General Surgery, Sandwell and West, Birmingham Hospitals NHS Trust, Institute of Cancer and Genomic Science, College of Medical and Dental Science, University of Birmingham – sequence: 4 givenname: Hashim E. surname: Abdalla fullname: Abdalla, Hashim E. organization: Department of General and Upper GI Surgery, The Royal Wolverhampton NHS Trust, New Cross Hospital – sequence: 5 givenname: Ali Ahmed surname: Wuheb fullname: Wuheb, Ali Ahmed organization: Department of General and Upper GI Surgery, The Royal Wolverhampton NHS Trust, New Cross Hospital – sequence: 6 givenname: Amir surname: Khan fullname: Khan, Amir organization: Department of General Surgery, Walsall Manor Hospital – sequence: 7 givenname: Jitesh surname: Parmar fullname: Parmar, Jitesh organization: Department of General and Upper GI Surgery, The Royal Wolverhampton NHS Trust, New Cross Hospital |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38038906$$D View this record in MEDLINE/PubMed |
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| Keywords | Gastric leak Omentopexy Sleeve gastrectomy |
| Language | English |
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| SubjectTerms | 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 |
| Title | Does Omentopexy Make a Difference in Laparoscopic Sleeve Gastrectomy for Obesity Treatment? A Systematic Review and Meta-Analysis |
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