Özet:

INTRODUCTION: The complications experienced during and after surgery in patients who underwent laparoscopic sleeve gastrectomy for obesity treatment in 1 clinic were analyzed.METHODS: The demographic and clinical data of all patients who underwent bariatric surgery with the diagnosis of obesity in the Kahramanmaras Sütçü İmam University Faculty of Medicine General Surgery Department between April 2008 and June 2016 were examined retrospectively by reviewing the hospital information system and patient files. Complications experienced during and after the operation were examined in 431 patients who underwent laparoscopic sleeve gastrectomy. The complications were divided into peroperative and postoperative types. Deaths within the first 30 days were considered operational mortality.RESULTS: Hemorrhage was detected in 13 patients and anastomosis leakage in 2 patients as a perioperative complication. In 51 patients, 1 or more complications developed postoperatively. In all, 20 patients experienced hemorrhage, 12 had anastomotic leakage, 12 had pneumonia, 10 had intra-abdominal abscess, 5 had a wound infection, 2 had a pulmonary embolism, and small bowel necrosis, portal vein thrombosis, myocardial infarction, and small bowel perforation was each seen in 1 patient. Postoperative mortality was observed in 6 patients (1.39%).DISCUSSION AND CONCLUSION: Laparoscopic sleeve gastrectomy is currently the most common, popular surgical procedure in the appropriate obese patient group in terms of results. Like any surgical procedure, however, it cannot be said that laparoscopic sleeve gastrectomy is completely free of the risk of complications.

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