What does the volume of stomach resected during Laparoscopic Sleeve Gastrectomy depend on and what impact does it have on postoperative results?

Introduction: Obesity is a chronic, multifactorial disease and its extent is equal to pandemics. Sleeve gastrectomy is one of the methods of obesity treatment. Constantly, research is conducted on factors influencing postoperative bariatric-metabolic results. In this study, a correlation between the volume of stomach resected during LSG with preoperative anthropometric measurements and its influence on postoperative results was analysed. Material and methods: The study included 196 patients who qualified and were subjected to laparoscopic sleeve gastrectomy in the study Centre. Surgery was conducted by the same surgical team according to standard procedure. The volume of the stomach resected was analysed, filling it with CO2 under the pressure of 15 mm Hg. The influence of the volume of stomach resected on bariatric efficiency as well as parameters of lipid and carbohydrate profile results in a 1-year follow-up was analysed. Results: The statistically significant connection between the volume of the stomach resected with preoperative body mass, height and body surface was proved. A correlation between BMI and stomach volume was not found. The volume of stomach resected did not influence body mass loss in a 1-year follow-up. The influence of the volume of the stomach resected on the percentage of glycated haemoglobin and HDL was proved. A significant decrease in body mass and BMI in a 1-year follow-up, as well as an improvement in lipid and carbohydrate balance, was observed. Conclusions: LSG is an efficient method of obesity treatment and for the improvement of biochemical parameters. The volume of stomach resected correlates with preoperative measurements of body mass, height and body surface, but not BMI. There is a lack of correlation between the volume of stomach resected with postoperative body mass loss results