Linear versus Circular Stapler for Gastrojejunal Anastomosis in Laparoscopic Roux-En-Y Gastric Bypass: An Analysis of 211 Cases. (30th July 2020)

• Record Type: Journal Article
• Authors: Burla, Laurin; Weibel, Pascal; Baum, Cornelia; Huber, Markus; Gürtler, Thomas; Weber, Markus
• Other Names: Turna Akif Academic Editor.
• Is Part Of: Surgery research and practice. Volume 2020(2020)
• Publication Date: 2020-07-30
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1155/2020/4090797
• Languages: English
• ISSNs: 2356-7759

Abstract

Abstract : Purpose . Although laparoscopic Roux-en-Y gastric bypass (LRYGB) is a frequently performed bariatric procedure, there is still no consensus on its technical implementation. Methods . 211 patients treated with LRYGB in a single institution between March 2011 and October 2016 were analyzed retrospectively. A subgroup analysis for the linear (LSA) versus circular stapler technique (CSA) for gastrojejunal anastomosis (GJA) was performed to evaluate complications and outcomes. Results . 128 (60.6%) patients received GJA with CSA and 83 (39.4%) with LSA. Average weight loss one year after surgery, respectively, BMI after one year of follow-up (kg/m 2 ), showed no significant difference. Median surgery time was significantly shorter in the LSA group. If the procedure was performed with CSA, significantly more wound infections occurred. Conclusions . Both the circular and the linear stapler techniques for gastrojejunal anastomosis in laparoscopic Roux-en-Y gastric bypass are safe methods with comparable outcomes. A disadvantage of CSA is the significantly higher rate of wound infections, a circumstance which requires increased attention.