Comparison of laparoscopic sleeve gastrectomy leak rates in four staple-line reinforcement options: A systematic review

The study compared laparoscopic sleeve gastrectomy (LSG) staple-line leak rates of 4 prevalent surgical options: No reinforcement, oversewing, nonabsorbable bovine pericardial strips (BPS) and absorbable polymer membrane (APM).

LSG is a multipurpose bariatric/metabolic procedure with effectiveness proven through the intermediate term. Staple-line leak is a severe complication of LSG for which no definitive method of prevention has been identified.