title: Laparoscopic sleeve gastrectomy (LSG): review of a new bariatric procedure and initial results.
abstract: OBJECTIVE
  To evaluate the outcomes and initial results of laparoscopic sleeve gastrectomy (LSG) and review of the literature.
  
  
  METHODS
  A retrospective analysis of the initial ten patients who underwent LSG was performed. Study endpoints included operative time, complication rates, hospital length of stay, and percentage of excess body weight loss.
  
  
  RESULTS
  This study included five women and five men, with a mean age of 43 (range: 31-52) years. Their mean preoperative weight was 182 kg (range: 125 kg-247 kg), with a mean preoperative body mass index (BMI) of 64 (range: 61- 80). Indication for LSG was the importance of BMI in all patients. One patient had previous restrictive bariatric surgery. Mean operative time was two (range: 1.5-2.5) hours. No patients required conversion. No postoperative complications nor mortality were noted. The median hospital stay was 7.2 days. Average excess body weight loss and BMI at one year were 51% and 23 kg/m2, respectively.
  
  
  CONCLUSIONS
  LSG can be integrated safely into a bariatric treatment program with good results in terms of weight loss and quality of life. LSG can be a first-step procedure before gastric bypass or duodenal switch, or a one-step restrictive procedure if long-term results are good. LSG should be considered as a surgical option in the bariatric field, but further studies are needed to determine its exact use.
authors.affiliation: Service de chirurgie générale A, Hôpital Bichat, Paris, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Mognol
authors.forename: Denis
authors.initials: D
authors.lastname: Chosidow
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Marmuse
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000379:methods*; D001835:Body Weight; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D010865:Pilot Projects; D016896:Treatment Outcome; D015431:Weight Loss