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Is It Possible to Estimate the Liver Left Lobe Volume Using Preoperative Data Before Bariatric Surgery?
Gokalp Okut1, Emre Turgut2, Kuntay Kaplan2
1Gastroenterology Surgery Department, Inonu University Turgut Ozal Medical Center, Bulgurlu Mahallesi, Elazığ Yolu 15. Km, 44280, Merkez/Battalgazi/Malatya, Turkey. gokalp.okut@gmail.com.
Obesity Surgery
|June 10, 2022
Summary
Identifying patients with large left liver lobes (LLL) before bariatric surgery is crucial. Preoperative data, particularly BMI and diabetes, can predict LLL size, helping to mitigate surgical complications.
Area of Science:
- Bariatric Surgery
- Surgical Anatomy
- Medical Imaging
Background:
- Liver retraction is critical in bariatric surgery for operative success and complication reduction.
- Large left liver lobes (LLL) can complicate surgical procedures.
Purpose of the Study:
- To identify preoperative predictors of large LLL.
- To investigate complications associated with large LLL in bariatric surgery patients.
Main Methods:
- Retrospective analysis of 245 bariatric surgery patients.
- Group division based on liver retraction visibility.
- Statistical analysis of anthropometric and laboratory data.
Main Results:
- BMI (≥42.1 kg/m²) and diabetes mellitus were independent predictors of large LLL.
- Patients with large LLL experienced higher retractor-related complications.
- Increased operation time and bleeding were observed in the large LLL group.
Conclusions:
- Preoperative data, including BMI and diabetes status, can predict large LLL.
- Proactive identification of large LLL may aid in reducing surgical complications.

