[Short-term outcomes of mechanical and hand-sewn laparoscopic one-anastomosis mini-gastric bypass].

Objective: To evaluate the short-term outcomes of mechanical and hand-sewn laparoscopic one-anastomosis mini-gastric bypass.

Material And Methods: There were 233 patients who underwent laparoscopic one-anastomosis mini-gastric bypass. Short-term results were analyzed in groups of mechanical (the first group, =108) and hand-sewn (the second group, =125) gastrojejunostomy. No significant between-group differences in baseline data were detected (demographic characteristics, body mass index, comorbidity and previous abdominal surgeries).

Results: Surgery time and blood loss were similar in both groups. Intraoperative morbidity was 7.2-10.2% (=0.485). All complications required no surgical conversion (Satava-Kazaryan grade I). Overall postoperative morbidity was 16.0-21.3% (=0.314). Most events corresponded to Accordion grade I and had no significant effect on hospital-stay.

Conclusion: This study revealed no significant differences in short-term outcomes after laparoscopic one-anastomosis gastric bypass with mechanical and hand-sewn gastrojejunostomy. Further study of long-term clinical outcomes is necessary.