Risk Factors in Early Postoperative Complication Development After Laparoscopic Sleeve Gastrectomy

Obesity is a complex endocrine and metabolic disorder with increased mortality and morbidity worldwide. Laparoscopic sleeve gastrectomy is currently one of the most commonly performed bariatric procedures. This study aims to identify early postoperative complications in patients who underwent laparoscopic sleeve gastrectomy due to obesity and to examine the risk factors in the development of postoperative complications. Patients who underwent laparoscopic sleeve gastrectomy for obesity in our clinic between March 2018 and December 2019 were included in the study. Patients who did not develop postoperative complications constituted group-1, and patients who developed postoperative complications constituted group-2. Variables that may be effective in the development of postoperative complications were analyzed by univariate and multivariate analyses. Of the 253 patients included in the study, 184 (72.7%) were women, and 69 (27.3%) were man. The median age was 35 (min: 18-max: 63). The postoperative complication rate was 9.1%. The major complication rate was 2.4%, and the minor complication rate was 6.7%. In multivariate analysis, man gender (p=0.008), pulmonary comorbidity (p=0.027), preoperative hemoglobin value (p <0.001), and operation time (p <0.001) were determined as independent risk factors for postoperative complication development. We believe that identifying and optimizing risk factors that may be predictive for early postoperative complications after laparoscopic sleeve gastrectomy can provide better management for the possible early postoperative complications and improve the results.