Evidence map›Paper›PMID 17879568›Full record

Trial reportObesity surgery2007

Technical aspects of laparoscopic sleeve gastrectomy in 25 morbidly obese patients.

Osnat Givon-Madhala, Rona Spector, Nir Wasserberg, Nahum Beglaibter, Hagit Lustigman, Michael Stein, Nazik Arar, Moshe Rubin

Erratum issuedAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  16. Long-term outcomes of laparoscopic sleeve gastrectomy - a single-center prospective observational study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Osnat Givon-MadhalaDepartment of Surgery B, Felsenstein Research Center Rabin Medical Center, Petah Tiqva, Israel.
Rona Spector
Nir Wasserberg
Nahum Beglaibter
Hagit Lustigman
Michael Stein
Nazik Arar
Moshe Rubin

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic sleeve gastrectomy (LSG) has recently come to be performed as a sole bariatric operation. The postoperative morbidity and mortality are cause for concern, and possibly are related to non-standardized surgical technique.

methodsThe following is the surgical LSG technique used in 25 morbidly obese patients. Five trocars are used. Division of the vascular supply of the greater gastric curvature is begun at 6-7 cm proximal to the pylorus, proceeding to the angle of His. A 50-Fr calibrating bougie is positioned against the lesser curvature. The LSG is created using a linear stapler-cutter device with one 4.1-mm green load for the antrum, followed by five to seven sequential 3.5-mm blue loads for the remaining gastric corpus and fundus. The staple-line is inverted by placing a sero-serosal continuous absorbable suture over the bougie from the angle of His. The resected stomach is removed through the 12-mm trocar, and a Jackson-Pratt drain is left along the suture-line.

resultsThe mean operative time was 120 minutes, and length of hospital stay was 4 +/- 2 days. There were no conversions to open procedures. There were no postoperative complications (no hemorrhage from the staple-line, no anastomotic leakage, no stricture) and no mortality. In 1 patient, cholecystectomy was also done, and in 4, a gastric band was removed. During a median follow-up of 4 months, BMI decreased from 43 +/- 5 kg/m2 to 34 +/- 6 kg/m2, and the % excess BMI loss was 49 +/- 25%.

conclusionsThe proposed surgical technique appears to be a safe and effective procedure for morbid obesity.

Indexed as

LaparoscopyAdolescentAdultFemaleFollow-Up StudiesGastrectomyHumansLength of StayMaleMiddle AgedObesity, MorbidProspective StudiesSurgical StaplingTreatment Outcome

Identifiers

PMID17879568

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.