Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
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Surg Obes Relat Dis · Apr 2017
Multicenter StudyEvaluating the effect of operative technique on leaks after laparoscopic sleeve gastrectomy: a case-control study.
To assess the effect of operative technique on staple line leaks after laparoscopic sleeve gastrectomy (LSG). ⋯ Despite considerable variation in operative technique, leak rates with laparoscopic sleeve gastrectomy have decreased over time as operative volume has increased. Oversewing of the staple line was associated with fewer leaks, but specific suturing technique was not uniform and oversewing was performed routinely by more experienced surgeons with higher case volumes and less complication rates overall. Before standardizing surgical technique one must take into account variations in surgeon skill and experience.