A Simple Way to Estimate a Difficult Sleeve Gastrectomy Prior to Operating

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dc.authoridKara, Yalcin Burak/0000-0002-8251-718X
dc.contributor.authorKara, Yalcin Burak
dc.contributor.authorBuluc, Halil
dc.contributor.authorElgezen, Mehmet
dc.contributor.authorYildiz, Edanur
dc.contributor.authorYardimci, Samet
dc.date.accessioned2024-05-19T14:40:50Z
dc.date.available2024-05-19T14:40:50Z
dc.date.issued2024
dc.departmentİstinye Üniversitesien_US
dc.description.abstractBackgroundToday, bariatric procedures are common. These surgeries' difficulties are classified as patient- or surgical team-related and are estimated by body mass index (BMI). More efficient methods are needed to help surgeons. This study evaluated the effect of measuring patients' subcutaneous fat tissue thickness (SFT) and umbilicus-xiphoid (DXU) to anticipate surgical difficulties.Material and MethodsThis was a prospective retrospective data analysis study. Laparoscopic sleeve gastrectomy patients seen between May and October 2022 were included in the analysis and divided into three groups, according to a surgeon's assessment. All patients' SFT, DXU, rectus muscle thickness, total fat tissue amount (TFT), and operational time were recorded prospectively and analyzed.ResultsIn all, 151 patients were included in the study; of these, 124 (82.1%) were women and 27 (17.9%) were men. Their mean BMI value was 41.1 +/- 6.2. Based on expert's opinion, we classified three groups: easy (n = 123, 81.5%), intermediate (n = 22, 14.6%), or difficult (n = 6, 4%). When the easy group was compared to the intermediate/difficult groups, we found that intermediate/difficult groups' SFT values were statistically significantly higher than the easy group (p = 0.000). Also, the intermediate/difficult group's TFT value was statistically significantly higher than the easy group (p = 0.000). We found no statistically significant differences between groups' DXU and rectus muscle thickness.ConclusionThis is the first study to anticipate sleeve gastrectomy difficulty using SFT and TFT. This is an easy technique to apply and no additional costs. Anticipating difficulties based on these criteria can ensure necessary preparations are made and help avoid complications.en_US
dc.description.sponsorshipBahcesehir Universityen_US
dc.description.sponsorshipNo Statement Availableen_US
dc.identifier.doi10.1007/s11695-024-07093-9
dc.identifier.issn0960-8923
dc.identifier.issn1708-0428
dc.identifier.pmid38374321en_US
dc.identifier.scopus2-s2.0-85185949653en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org10.1007/s11695-024-07093-9
dc.identifier.urihttps://hdl.handle.net/20.500.12713/5024
dc.identifier.wosWOS:001164960000002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofObesity Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.subjectDifficult Bariatric Surgeryen_US
dc.subjectLaparoscopic Sleeve Gastrectomyen_US
dc.subjectSubcutaneous Fat Tissueen_US
dc.subjectTotal Fat Tissueen_US
dc.titleA Simple Way to Estimate a Difficult Sleeve Gastrectomy Prior to Operatingen_US
dc.typeArticleen_US

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