Comparison of Stapled Versus Stapleless Sleeve Gastrectomy with Natural Orifice Specimen Extraction (NOSE)

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dc.authoridKaragul, Servet/0000-0003-1964-2516
dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authoridKirmizi, Serdar/0000-0001-9385-1450
dc.authorwosidKaragul, Servet/K-3020-2015
dc.authorwosidSumer, Fatih/F-8042-2017
dc.contributor.authorKirmizi, Serdar
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorKaragul, Servet
dc.contributor.authorTardu, Ali
dc.contributor.authorErtugrul, Ismail
dc.contributor.authorSumer, Fatih
dc.date.accessioned2024-08-04T20:50:52Z
dc.date.available2024-08-04T20:50:52Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Sleeve gastrectomy is a stapler dependent bariatric procedure. A stapleless sleeve gastrectomy can be necessary for certain circumstances. Aims: Here, we aimed to show whether laparoscopic stapleless sleeve gastrectomy with natural orifice specimen extraction (NOSE) can be an alternative procedure o stapled sleeve gastrectomy. Patients and Methods: In the stapleless group (n = 6), no staplers were used and after vertical resection of the stomach by energy devices, the stomach remnant was closed by two rows of intracorporeal sutures. The resected specimen was removed through the mouth using an endoscopic snare. In the stapler group (n = 7), sleeve gastrectomy was carried out with linear stapler under the guidance of 36 Fr Bougie. The specimens were extracted from the left upper quadrant trocar site. Results: A total of 13 patients were compared (stapleless = 6 and stapled group = 7). All the sleeve gastrectomies were completed laparoscopically. The operative time was longer at 200 minutes (range 120-300) versus 120 minutes, (range 90-200) p = 0.07) and the amount of bleeding was higher at 100 ml (range 50-200) versus 30 ml (range 10-50) (p = 0.004) in the stapleless group. Leakage and gastrointestinal bleeding were seen in the stapleless group but no complications were found in the stapler group. No statistically significant difference was found between the metabolic outcomes of the two groups after the operation (p > 0.05). Decrease in BM at similar rates was observed in 5 postoperative year (stapleless group: 35 kg/m(2) (range 31-39) versus stapled group: 36.5 kg/m(2) (range 31-39), p > 0.05). Conclusion: Laparoscopic stapleless sleeve gastrectomy with natural orifice specimen extraction has longer procedure time, more blood loss and complications.en_US
dc.identifier.doi10.4103/njcp.njcp_388_20
dc.identifier.endpage1693en_US
dc.identifier.issn1119-3077
dc.identifier.issue11en_US
dc.identifier.pmid34782510en_US
dc.identifier.scopus2-s2.0-85119875962en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1689en_US
dc.identifier.urihttps://doi.org/10.4103/njcp.njcp_388_20
dc.identifier.urihttps://hdl.handle.net/11616/100327
dc.identifier.volume24en_US
dc.identifier.wosWOS:000755753500018en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofNigerian Journal of Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectNatural orifice specimen extraction (NOSE)en_US
dc.subjectobesityen_US
dc.subjectsleeveen_US
dc.subjectstaplelessen_US
dc.subjectstaplerlessen_US
dc.titleComparison of Stapled Versus Stapleless Sleeve Gastrectomy with Natural Orifice Specimen Extraction (NOSE)en_US
dc.typeArticleen_US

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