ABSTRACT TITLE: EXPERIENCE WITH FIRST 150 CASES OF LAPAROSCOPIC SLEEVE GATRECTOMY AT A PREMIERE LAPAROSCOPIC INSTITUE IN EASTERN INDIA

AUTHOR: DR. DIGANT PATHAK, DR. OM TANTIA, ADDRESS: Dr. Om Tantia Medical Director & Head Department of Minimal Access & Bariatric Surgery ILS Hospitals, DD-6, Salt Lake City, Sector - 1 Kolkata - 700064 India. E-mail: omtantia@gmail.com Ph: +919830400444

INTRODUCTION: Institute of Laparoscopic surgery (ILS) is a busy laparoscopic institute in eastern India. We started our work in Bariatric surgery in 2006. We are presenting our experience of first 150 cases of laparoscopic sleeve gastrectomy . Methods: A total of 150 patients who underwent laparoscopic sleeve gastrectomy were studied. All patients had intensive preoperative workup and postoperative follow-up. 10 patients lost to follow-up. All patients were operated laparoscopically with sleeve made over 36 Fr bougie using endoscopic staplers. Results: The average age of 150 patients who underwent laparoscopic sleeve gastrectomy was 40 years with min age of 15 years and max of 67 years. Average weight was 117 kgs , minimum 77 kgs and maximum of 201 kgs. BMI average was 44 with range between 30 and 65. Average loss of excess weight was 55 kgs with maximum of 122 kgs loss. Follow-up period was between 6 months and 5 years. Of all patients 90% patients had resolution of diabetes , 80% had hypertension resolution with follow-up period of 6 months to 5 years. Dyslipidemia resolved in 85% and improved in 14.2%. There was 100% resolution in sleep apnea at 1 year. Significant intra-operative complication was in one patient who had accidental esophageal perforation and hence procedure was abandoned after the repair. We had three significant post-operative bleeding requiring relook laparoscopy. One patient expired in immediate post-operative period secondary to massive pulmonary embolism. None of the patient had stapler line leak. One patient had massive angioneuritic edema for that she required ventilator support to manage secondary respiratory obstruction

Conclusion: LSG is now getting reputation of stand alone procedure in the field of bariatric surgery with advantages of ease to teach and learn. It has a respectable safety record with success rates almost equivalent to RYGB the bariatric surgical gold standard.