Single Incision Laparoscopic Sleeve Gastrectomy: a Review

Area of Science:

• Bariatric Surgery
• Minimally Invasive Surgery
• Obesity Treatment

Background:

• Morbid obesity is a significant global health concern requiring effective treatment options.
• Sleeve gastrectomy is a common bariatric procedure, with single-incision techniques emerging to reduce invasiveness.

Purpose of the Study:

• To systematically review and summarize the current evidence on the outcomes of single incision sleeve gastrectomy (SILSG).
• To evaluate the safety, feasibility, and efficacy of SILSG for managing morbid obesity.

Main Methods:

• A comprehensive literature search was conducted to identify studies reporting on SILSG outcomes.
• Data extraction included patient demographics, operative details, and surgical outcomes from 16 studies.
• A meta-analysis was performed on data from 945 patients.

Main Results:

• The analysis included 945 patients, predominantly women (90.6%), with a mean age of 37 years.
• Mean operative time was 64.7 minutes, with a low overall complication rate (0.2% intraoperative, 2.8% postoperative).
• No perioperative deaths were reported, and the mean postoperative hospital stay was 2.5 days.

Conclusions:

• Single incision sleeve gastrectomy (SILSG) is a feasible and safe surgical option for morbid obesity.
• The procedure is associated with low complication and mortality rates when performed in carefully selected patients.
• SILSG represents a promising minimally invasive approach in bariatric surgery.