Is It Possible to Estimate the Liver Left Lobe Volume Using Preoperative Data Before Bariatric Surgery?

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dc.authoridTurgut, Emre/0000-0001-8196-1871
dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authoridOkut, Gokalp/0000-0002-3641-5625
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidOkut, Gokalp/GRE-9040-2022
dc.authorwosidTurgut, Emre/GRF-4462-2022
dc.authorwosidSumer, Fatih/F-8042-2017
dc.contributor.authorOkut, Gokalp
dc.contributor.authorTurgut, Emre
dc.contributor.authorKaplan, Kuntay
dc.contributor.authorBag, Yusuf Murat
dc.contributor.authorSumer, Fatih
dc.contributor.authorKayaalp, Cuneyt
dc.date.accessioned2024-08-04T20:52:03Z
dc.date.available2024-08-04T20:52:03Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractY Purpose Retraction of the left lobe of the liver (LLL) is an important step in bariatric surgical procedures. A good liver retraction will both facilitate the operation and reduce complications. The aim of the study is to identify patients with large LLL with preoperative anthropometric and laboratory data, and to reveal complications due to large LLL. Materials and Methods The data of 245 patients who underwent bariatric surgery in our department between April 2019 and March 2021 were retrospectively analyzed. The patients were divided into two groups according to the visibility of the caudate lobe of the liver, the left diaphragmatic artery-vein, and the fat pad on the esophagus after liver retraction. Results Univariate analyses revealed significant differences in BMI, waist and hip circumferences, TG, DM, and HbA1c values, but only BMI (p = 0.001) and the presence of DM (p = 0.017) were found to be independent predictors of LLL size. BMI >= 42.1 kg/m(2) indicates the size of LLL with 83% sensitivity and 49% specificity. Retractor-related complications were significantly higher in the large LLL group (p = 0.036). There was no difference between the two groups in terms of complications related to trocar insertion (p = 0.014) and postoperative liver enzyme levels (p = 0.714). The operation time (laparoscopic sleeve gastrectomy [LSG]; p = 0.021) (laparoscopic Roux-N-Y gastric bypass [LRYGB]; p = 0.020) and the amount of bleeding (LSG; p < 0.001) (LRYGB; p = 0.011) are higher in patients with large LLL. Conclusion Large LLL can be predicted and complications may be reduced with the help of preoperative data.en_US
dc.identifier.doi10.1007/s11695-022-06143-4
dc.identifier.endpage2705en_US
dc.identifier.issn0960-8923
dc.identifier.issn1708-0428
dc.identifier.issue8en_US
dc.identifier.pmid35689141en_US
dc.identifier.scopus2-s2.0-85131680968en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2696en_US
dc.identifier.urihttps://doi.org/10.1007/s11695-022-06143-4
dc.identifier.urihttps://hdl.handle.net/11616/100709
dc.identifier.volume32en_US
dc.identifier.wosWOS:000810018000004en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_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/closedAccessen_US
dc.subjectBariatric surgeryen_US
dc.subjectLiver volumeen_US
dc.subjectLiver retractionen_US
dc.titleIs It Possible to Estimate the Liver Left Lobe Volume Using Preoperative Data Before Bariatric Surgery?en_US
dc.typeArticleen_US

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