Omentopexy versus no omentopexy in sleeve gastrectomy: an updated systematic review and meta-analysis

AbstractLaparoscopic sleeve gastrectomy with omentopexy (O-LSG) has been compared to laparoscopic sleeve gastrectomy with no-omentopexy (NO-LSG) in terms of postoperative outcomes and one-year anthropometric results. This systematic review with meta-analysis aimed to compare the utility of omentopexy in sleeve gastrectomy. We performed a systematic review with meta-analysis according to PRISMA 2020 and AMSTAR 2 guidelines. We included studies that systematically searched electronic databases and compared the O-LSG with the NO-LSG conducted through 1st March 2023. The bibliographic research yielded 13 eligible studies. These studies included 5514 patients. The O-LSG is associated with lower leakage (OR  = 0.22; 95% CI [0.08, 0.55],p = 0.001), bleeding (OR = 0.33; 95% CI [0.19, 0.57],p <  0.0001), vomiting (OR = 0.50; 95% CI [0.28, 0.89],p = 0.02), twist (OR = 0.09; 95% CI [0.02, 0.39],p = 0.001), and shorter hospital stay (MD = − 0.33; 95% CI [− 0.61, − 0.05],p = 0.02) compared with NO-LSG. The O-LSG is associated with longer operative time (MD = 8.15; 95% CI [3.65, 12.64],p = 0.0004) than the NO-LSG. There were no differences between the two groups in terms of postoperative GERD (OR = 0.53; 95% CI [0.27, 1.02],p = 0.06), readmission (OR = 0.60; 95% CI [0.27, 1.37],p = 0.23), and one-year total weight loss (MD = 2.06; 95% CI [− 1.53, 5.65],p = 0.26). In the subgroup analysis including only R...
Source: Updates in Surgery - Category: Surgery Source Type: research