A new method in laparoscopic sleeve gastrectomy: Reverse trendelenburg with right lateral tilt position prior to trocar entry

Yükleniyor...
Küçük Resim

Tarih

2017

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

International Scientific Information, Inc.

Erişim Hakkı

Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
info:eu-repo/semantics/openAccess

Özet

Background: The primary aim of this study was to evaluate the effectiveness of patient positioning prior to trocar entry in laparoscopic sleeve gastrectomy. Material/Methods: The records of 300 patients that had a laparoscopic sleeve gastrectomy surgery at Aydin State Hospital from January 2015 until January 2017 were analyzed retrospectively. First, 140 patients who had been placed in the surgical position after the entry of trocars (PAET) were included as the first group, and 160 patients who had been placed in the surgical position before entry of trocars (PBET) were included as the second group. A comprehensive analysis based on the comparison of age, gender, body mass index (BMI), duration of total anesthesia, and incompleteness rate of operations between the two groups was performed. Results: The PAET group was composed of 111 females (79.3%) and 29 males (20.7%). The averages of age, BMI, and duration of anesthesia for this group were 36.84, 46.3 kg/m 2 , and 161.56 minutes, respectively. The PBET group was composed of 123 females (76.9%) and 37 males (23.1%). The averages of age, BMI, and duration of anesthesia of this second group were 38.8, 47.4 kg/m 2 , and 120.8 minutes, respectively. In the PAET group, the operations for four patients (2.9%) were never completed; in the PBET group, there was no uncompleted operations (p=0.046). Conclusions: PBET is an effective method which both shortens the operation time and decreases the rate of uncompleted operations. © Med Sci Monit.

Açıklama

Anahtar Kelimeler

Abdominal, Bariatric Surgery, Gastrectomy, Head-Down Tilt, Laparoscopy, Obesity

Kaynak

Medical Science Monitor

WoS Q Değeri

N/A

Scopus Q Değeri

Q1

Cilt

23

Sayı

Künye

Koç, O., Şahiner, İ. T., Ekiz, F. (2017). a new method in laparoscopic sleeve gastrectomy: Reverse trendelenburg with right lateral tilt position prior to trocar entry. MMedical Science Monitor, 23, 4513-4517.