Outcomes of Laparoscopic Sleeve Gastrectomy Without Omentopexy and Gastropexy: A Review of Safety and Efficacy

Abstract

Introduction: Laparoscopic Sleeve Gastrectomy (LSG) is a widely accepted surgical intervention for morbid obesity due to its effectiveness in weight reduction and comorbidity resolution. While omentopexy and gastropexy are sometimes performed to minimize complications such as gastric torsion and staple-line leaks, their routine necessity remains controversial. This review explores the outcomes, safety, and clinical significance of performing LSG without omentopexy and gastropexy in morbidly obese patients. A systematic review of existing studies was conducted, focusing on patient outcomes, complication rates, operative time, and long-term weight loss in LSG procedures performed without omentopexy and gastropexy. The findings indicate no significant increase in postoperative complications, including staple-line leaks or gastric torsion, in the absence of omentopexy and gastropexy. Additionally, operative time was reduced, contributing to overall surgical efficiency. Weight loss outcomes and patient recovery remained comparable to procedures with fixation techniques. Conclusion: Laparoscopic Sleeve Gastrectomy without omentopexy and gastropexy is a safe and effective approach for morbidly obese patients. The omission of these additional steps does not compromise surgical outcomes or patient safety. Future randomized controlled trials are needed to validate these findings and refine surgical guidelines.