{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:46:28Z","timestamp":1773269188328,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,12,5]],"date-time":"2013-12-05T00:00:00Z","timestamp":1386201600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Reported results and techniques of laparoscopic sleeve gastrectomy (<jats:styled-content style=\"fixed-case\">LSG<\/jats:styled-content>) are variable. Our objective was to assess results of weight loss, complications and reflux in a large consecutive series of <jats:styled-content style=\"fixed-case\">LSG<\/jats:styled-content>, describing technical detail which contributed to outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of prospectively collected data of 500 consecutive patients undergoing <jats:styled-content style=\"fixed-case\">LSG<\/jats:styled-content>. Patient demographics, weight loss, complications and functional outcomes were analysed and operative technique described.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five hundred patients underwent <jats:styled-content style=\"fixed-case\">LSG<\/jats:styled-content> over 3 years (37 revisional). Mean (range) preoperative body mass index was 45\u2009kg\/m<jats:sup>2<\/jats:sup> (35\u201376\u2009kg\/m<jats:sup>2<\/jats:sup>). Mean follow\u2010up and length of hospital stay were 14 months (1\u201334) and 3.8 days (3\u201312), respectively. All\u2010cause 30\u2010day readmission rate 1.2%. Mean excess weight loss (interquartile range, available patient data) was 43% (22\u201365%, 423 patients), 58% (45\u201370%, 352 patients), 76% (52\u201384%, 258 patients), 71% (51\u201387%, 102 patients) and 73% (55\u201386%, 13 patients) at 3, 6, 12, 24, 36 months, respectively. There was no mortality. Intraoperative complications occurred in two (0.4%) \u2013 splenic bleeding; bougie related oesophageal injury. Early surgical complications in four (1.2%) patients (one staple line leak and three post\u2010operative bleeds). Other early complications occurred in three (0.6%) patients (one pseudomembranous colitis; one central line sepsis; one portal venous thrombosis) and late in four (0.8%) patients (three port\u2010site incisional hernias; mid\u2010sleeve stricture requiring endoscopic dilatation). Gastro\u2010oesophageal reflux symptoms decreased from 45 to 6%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>With attention to detail, <jats:styled-content style=\"fixed-case\">LSG<\/jats:styled-content> can lead to good excess weight loss with minimal complications. Tenants to success include repair of hiatal laxity, generous width at angula incisura and complete resection of posterior fundus.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.12483","type":"journal-article","created":{"date-parts":[[2013,12,5]],"date-time":"2013-12-05T11:42:49Z","timestamp":1386243769000},"page":"673-677","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Laparoscopic sleeve gastrectomy: review of 500 cases in single surgeon <scp>A<\/scp>ustralian practice"],"prefix":"10.1111","volume":"85","author":[{"given":"Simon C.","family":"Gibson","sequence":"first","affiliation":[{"name":"UGI Surgery Concord Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip A.","family":"Le Page","sequence":"additional","affiliation":[{"name":"UGI Surgery Concord Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig J.","family":"Taylor","sequence":"additional","affiliation":[{"name":"UGI Surgery Concord Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,12,5]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-0995-0"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-010-0320-y"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-011-0488-9"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181e90b31"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2009.05.011"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2006.10.013"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2007.08.015"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-010-9928-5"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-009-9801-2"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0134-5"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-009-0032-3"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2011.10.019"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-010-0145-8"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-008-9791-5"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2009.11.019"},{"key":"e_1_2_5_17_1","first-page":"273","article-title":"Laparoscopic sleeve gastrectomy. Do we need to oversew the staple line?","volume":"82","author":"Musella M","year":"2011","journal-title":"Ann. Ital. 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