Aim: This paper aims to present the initial experience of the I-st Surgery Clinic Târgu Mureş in laparoscopic sleeve gastrectomy, stressing the technical aspects of surgery and postoperative immediate and late results.
Method: Started in 2008, I Surgery Clinic's experience includes 11 cases of laparoscopic sleeve gastrectomy, pursued between 5 and 10 months postsurgery.The group is structured as follows: 80% female, aged between 13 and 55 years, average BMI 46, with limits between 35 and 72. Surgical technique was unitary, 10 of 11 cases beeing performed by the same team.
Results: Surgergical results were excellent: 0 conversions, 0 bleeding, 0 fistulas, 0 missfire. Average hospitalisation was of 48 hours postsurgery. EWL overall 68%, with limits between 50%, in 2 cases (initial BMI 70) and 100%--1 case (initial BMI 35). Life threatening morbidity--0.0 mortality, average BAROS score 6.7.
Conclusion: GLL is a well standardized, secure, efficient, applicable with good results in all categories of patients with morbid obesity.