• Medeni Sermet.
• MD, PhD. Department of General Surgery, Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Medeniyet University, Istanbul, Turkey.
• Sao Paulo Med J. 2023 Jan 1; 142 (3): e2023163e2023163.

BackgroundInsufficient research exists on the stapling technique in and duration of laparoscopic sleeve gastrectomy (LSG).ObjectivesThis study aimed to assess the clinical outcomes using a 30-second precompression and post-firing waiting time without extra support for the stapling line.Design And SettingsRandomized controlled prospective study at a university hospital.MethodsThis study included 120 patients treated between January 2022 and February 2023. The patients were divided into the non-waiting group (T0) and waiting group (T1), each with 60 patients. Perioperative complications were analyzed using statistical tests.ResultsThe waiting group (T1) showed a significant reduction in the number of intraoperative bleeding points requiring intervention compared with the non-waiting group (T0) (81 versus 134, P < 0.05). In T0, postoperative C-reactive protein (CRP) levels increased (P < 0.05) and hemoglobin levels decreased significantly (P <0.05). The study recorded 22 postoperative complications, accounting for 18.3% of all cases during the 30-day postoperative period.ConclusionsThe study concluded that the 30 sec + 30 sec stapling technique reduces perioperative bleeding, length of stay, and serious complication rates and is practical and effective for LSG.Clinical Trial RegistrationClinicalTrials.gov with registration code NCT05703035; link: https://clinicaltrials.gov/ct2/show/NCT05703035.

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