Abstract
Purpose: Laparoscopic sleeve gastrectomy is increasingly being recognised as a stand‐alone procedure in bariatric surgery, with long term follow‐up data now emerging. We present our early experience patients with a mean BMI in the super‐obese range.Methodology: Retrospective review of laparoscopic sleeve gastrectomies performed by two surgeons at Middlemore Hospital, between March 2007 and July 2008.Results: One hundred and one patients were identified, with a mean age of 42.7 years (95% CI 40.9–44.5). Maori and Pacific Islanders made up 31% of the patient subset. Patients had a mean BMI of 50.2 kg/m2 (95% CI 48.8–51.7), and 45 patients were super‐obese. They had a median hospital stay of 2 days (1–7 days), and a mean follow‐up of 6.0 months. Mean excess BMI loss (excluding patients with a major complication) was 46% (95% CI 43.3–48.7). 64% of diabetics and 37% of hypertensives showed in an improvement in medication requirement. There was a major complication rate of 8%, including 3 staple line leaks (one of which required laparotomy), 2 staple line bleeds (one requiring laparotomy), 1 infected haematoma, and 1 critical stricture. There were no deaths.Conclusion: Laparoscopic sleeve gastrectomy has achieved satisfactory weight‐loss results with an acceptable complication rate in the short to medium term.
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