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Published on: February 10, 2023
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Transumbilical single-incision laparoscopic sleeve gastrectomy.
José Ignacio Fernández Fernández1, Carlos O Farías, Cristián L Ovalle
1Clínica Tabancura, Centro Integral de Nutrición y Obesidad, Santiago de Chile, 7650018, Chile, jignaciofdez@gmail.com.
Obesity Surgery
|August 28, 2014
Summary
Single-incision laparoscopic sleeve gastrectomy (SILSG) is a safe and feasible bariatric procedure. This technique offers excellent cosmetic results with minimal scarring, using standard laparoscopic instruments.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Surgical Innovation
Background:
- Sleeve gastrectomy is a primary bariatric surgery technique.
- Single-incision laparoscopic sleeve gastrectomy (SILSG) offers lower complexity.
- SILSG is feasible using conventional laparoscopic instruments.
Purpose of the Study:
- To present the SILSG technique.
- To evaluate SILSG surgical outcomes.
- To demonstrate SILSG safety and feasibility.
Main Methods:
- Analysis of 74 SILSG patients since December 2012.
- Transumbilical incision with a GelPoint device and four trocars.
- Gastric transection 4 cm proximal to the pylorus, calibrated with a 36-Fr bougie.
Main Results:
- Mean operative time: 48 ± 10 minutes.
- No reoperations or deaths; one portal vein thrombosis.
- Mean hospital stay: 2.4 ± 2.0 days; satisfactory cosmetic results.
Conclusions:
- SILSG is safe and feasible with the described technique.
- Conventional laparoscopic instruments are suitable for SILSG.
- Excellent cosmetic outcomes with minimal scarring are a key benefit.
