Can We Predict the Perioperative Pulmonary Complications Before Laparoscopic Sleeve Gastrectomy: Original Research

• Published in: Obesity surgery 2017-06, Vol.27 (6), p.1524-1528
• Main Authors: Atilla, Nurhan, Arpag, Huseyin, Bozkus, Fulsen, Kahraman, Hasan, Cengiz, Emrah, Bulbuloglu, Ertan, Atilla, Semi
• Format: Article
• Language: English
• Subjects: Adult; Cross-Sectional Studies; Female; Gastrectomy - adverse effects; Gastrointestinal surgery; Humans; Incidence; Intraoperative Complications - epidemiology; Intraoperative Complications - etiology; Laparoscopy; Lungs; Male; Medicine; Medicine & Public Health; Obesity, Morbid - surgery; Original Contributions; Predictive Value of Tests; Prevalence; Respiratory Function Tests; Respiratory Insufficiency - epidemiology; Respiratory Insufficiency - etiology; Surgery; Surgical outcomes; Treatment Outcome; Turkey - epidemiology
• ISSN: 0960-8923; 1708-0428
• DOI: 10.1007/s11695-016-2522-4

Background The increasing prevalence of obesity in worldwide is one of the most serious chronic public health problems and is considered to be a global epidemic. Bariatric surgical procedures have also been applied more often with increased prevalence of obesity. As a result, the incidence of surgical complications has increased. Preoperative evaluation is quite important for these patients. Aims The aim of our study is to determine the predictors of perioperative pulmonary complications of laparoscopic sleeve gastrectomy. Study Design The study is a cross-sectional study. Methods One hundred eighty-three consecutive patients who received laparoscopic bariatric surgery were followed up during 3 months. Patients were divided into two groups A and B. Group A being the patients who had perioperative pulmonary complications ( n  = 28) and group B being patients who had not ( n  = 155). Pulmonary function test (PFT), body mass index (BMI), preoperative oxygen saturation, age, gender, comorbid diseases, and smoking history were compared between these groups. Results Mean age, size, weight, BMI, PFT parameters of groups A and B were close to each other. The strongest predictors of perioperative pulmonary complications were duration of smoking in current smokers and low baseline oxygen saturation. Conclusions Preoperative oxygen saturation and smoking history may help to predict perioperative complications of laparoscopic sleeve gastrectomy.