FREQUENCY OF EARLY COMPLICATIONS OF LAPAROSCOPIC SLEEVE GASTRECTOMY, USING FOUR PORTS.

Abstract

Objectives:

This research aims to understand how often patients experience early complications after LSG done using a four-port technique in order to assess its safety and impact in treating obesity-related diseases.

Materials and Methods:

This study was done through the analysis of patient records and literature reports regarding LSG performed using the four port technique. Specific postoperative hemorrhage, staple line leakage, and infection are acute concerns that were assessed and measured in the first 30 days following surgeon-directed laparoscopic interventions. Since patient related characteristics and surgical skills play an influential role in the development of these complications the risk factors and enhance of the complications were considered.

Results:

The study involved 200 patients of LSG using four port method. For the early post-operative period the complication rate was 8%. 5%, haemorrhage being the most frequent (5%). Staple line leakage was found in 2% of the presented cases and postoperative infection in 1%. 5%. In two cases (1%) re-operation had to be carried out because of leakage or uncontrollable bleeding. There were no mortality in the study period and majority of bleeding incidents as observed required only conservative management with surgery required only in cases where there were leaks.

Conclusion:

 LSG with the four-port technique can be considered safe, and the overall rate of early complications is rather low. Despite the fact that haemorrhage remains the commonest complication, proper assessment, choice of patients and surgeons, and excellent control of the period surrounding the operation are key steps for prevention. The results of this study cannot be read as critique on the current guidelines in LSG, but they do highlight the need to strive for increased efficiency and reduced risk profiles in the process and tools used in these operations.