The Effect of Liver Size on Early Postoperative Complications in Patients Undergoing Laparoscopic Sleeve Gastrectomy

<b><i>Aim:</i></b> The aim of the study was to show whether the complications of hepatomegaly increase in patients undergoing LSG. <b><i>Material Method:</i></b> This study was designed as a retrospective study. LSG surgeries performed between 2014 and 2024 were examined. Complications were determined by examining blood test results, radiological images, and epicrisis information. Complications were classified according to the Clavian-Dindo classification. The patients were divided into two groups according to the presence of hepatomegaly. Groups were compared according to complications. <b><i>Results:</i></b> The study was conducted with a total of 972 patients. Of the patients, 303 (31.1%) were male and 669 (68.8%) were female. The mean age was 37.7 years (range: 18-65). Of all patients, 623 (64%) had hepatomegaly, and 349 (36%) had normal liver size. In the hepatomegaly group, 26 patients had major complications, while 3 patients in the non-hepatomegaly group had them. It was found that major complications were significantly higher in the hepatomegaly group compared to the non-hepatomegaly group (<i>P</i> < .05). Minor complications were observed in 129 patients in the hepatomegaly group and 66 patients in the non-hepatomegaly group. The difference between the two groups for the minor complications was not significant (<i>P</i> > .05).In addition, the average surgery duration and hospital stay were statistically significantly higher in the hepatomegaly group (<i>P</i> < .05). <b><i>Conclusions:</i></b> Hepatomegaly significantly increases the major complications after LSG.