BS SO05 - A Comparative Study Between Laparoscopic Sleeve Gastrectomy with omentopexy Versus conventional Laparoscopic Sleeve Gastrectomy: A Prospective Cohort Study

Abstract Background Sleeve Gastrectomy, is a widely used procedure globally. However, omentopexy is a newly added variation, which involves reattachment of the omental to the stomach. Currently, there is not enough data regarding this technique Method A prospective cohort study, was conducted from June 2021 to June 2023 in University Hospitals and other non-governmental hospitals, which included 174 for a one-year follow-up. Results Group (I) with omentopexy while Group (II) without omentopexy. Regarding intra-operative time, the mean time in minutes in the group (I) is 115.45 minutes with a standard deviation ±11.19. While in group (II) is 79.8 minutes with a standard deviation of ±13.3 (p=O.001). Regarding complications rate . leakage occurred in 1(1.14%) patient in group (I). While, in 3(3.4%) patients in group (II) (p=0.62). Bleeding was found in 1 (1.1%) patient in group(I) and 2(2.3%) patients in group (II) (p=1). GERD was found in 10(11.49%) patients in group(I) and 12(13.7%) patients in group (II) (p=0.82). Conclusion Although there was no significant superiority in the group of patients with omentopexy, less bleeding, leakage, and GERD were detected compared to the traditional group, so we recommend further studies comparing both groups to be able to do meta-analysis comparing both groups and we also should emphasize that further refinement of the learning curve is possible in the future to further reduce the operative time required to execute this essential technique.