4. Perioperative results Conversion (%) 0.1 Operative time (min) 77 (40 - 200) Hospital stay( days) 3 ± 2.1 (2 - 77) Mortality (%) 0

5. Early Complications * re-operation n % Portal thrombosis 10 1 Wound infection 1 0.1 Leak 7(5)* 0.7 Hemoperitoneum 7(1)* 0.7 Antrum stenosis 1(1) * 0.1 Pulmonary embolism 2 0.2 DVT 1 0.1 Pancreatitis 1 0.1

6. Reoperation First 30 postoperative days n % Leak 5 0.5 Hemoperitoneum 1 0.1 Antrum stenosis 1 0.1

8. Early laparoscopy Early leak (48hrs)

9. 3 Weeks

10. 3 Months

11. Citokinas en drenajes

12. Contaminación drenajes

13. 14 .000 pacientes 64% usa drenaje

14. Cirugía Revisional

17. Técnica

19. Early Complications * re-operation n % Portal thrombosis 10 1 Wound infection 1 0.1 Leak 7(5)* 0.7 Hemoperitoneum 7(1)* 0.7 Antrum stenosis 1(1) * 0.1 Pulmonary embolism 2 0.2 DVT 1 0.1 Pancreatitis 1 0.1

20. Reoperation First 30 postoperative days n % Leak 5 0.5 Hemoperitoneum 1 0.1 Antrum stenosis 1 0.1

21. Evitar Manga bassini

22. Tipos de Refuerzo Dapri 2010

23. Cirugía Revisional

24. % 18% 1.4% Primaria Revisional n:163 Filtración 4/22 2/141

25. Caso

26. Efecto refuerzo

27. 10 días post op

28. Altura inadecuada

29. Potencial filtración