the left lobe of the liver in obese patient usually fatty and enlarged and may cause difficulty during bariatric surgery. the aim of this study is to test the impact of routine preoperative ultrasound to evaluate the size of left lobe of the liver as a preoperative predictor for difficulty
the left lobe of the liver in obese patient usually fatty and enlarged and may cause difficulty during bariatric surgery. the aim of this study is to test the impact of routine preoperative ultrasound to evaluate the size of left lobe of the liver as a preoperative predictor for difficulty. two equal groups of patients are operated by laparoscopic sleeve gastrectomy with loop bipartition, in one group routine abdominal ultrasound is done, in the other group ultrasound not routinely done.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
120
Routine preoperative measurement of left lobe
no routine preoperative measurement of left lobe
Faculty of medicine
Minya, Egypt
intraoperative maximum diameter of left lobe of the liver
intraoperative maximum diameter of left lobe of the liver in centimeter using intraoperative tape
Time frame: 4 hours
score of difficulty
score of difficulty from:exposure of the hiatus, retraction of the liver and operative time
Time frame: 6 hours
operative time
operative time from skin to skin
Time frame: 6 hours
incidence of intraoperative complications
incidence of intraoperative complications like bleeding,or injury to intra-abdominal organ
Time frame: 3 days
early postoperative complications
early postoperative complications like leak or vomiting
Time frame: 2 weeks
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