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Three-Trocar Sleeve Gastrectomy vs Standard Five-Trocar Technique: a Randomized Controlled Trial
Vincenzo Consalvo1, Vincenzo Salsano2,3, Gerardo Sarno4
1Università degli Studi di Salerno, Via Giovanni Paolo II, Fisciano, SA, Italy. vincenzoconsa@gmail.com.
Obesity Surgery
|June 17, 2017
Summary
The three-trocar sleeve gastrectomy is a safe bariatric surgery option, offering improved patient aesthetic satisfaction with no increase in early complications. This minimally invasive approach is a viable alternative for achieving excess weight loss.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Obesity Treatment
Background:
- Bariatric surgery is crucial for treating morbid obesity.
- Laparoscopic sleeve gastrectomy is the most common procedure worldwide.
- Minimizing abdominal trauma and enhancing aesthetic outcomes are key surgical goals.
Purpose of the Study:
- To evaluate the safety and efficacy of the three-trocar sleeve gastrectomy.
- To compare the three-trocar technique against the standard five-trocar technique.
- To assess post-operative complications, pain, and patient satisfaction.
Main Methods:
- A randomized controlled trial involving 90 patients.
- Comparison of a three-trocar technique (experimental) versus a five-trocar technique (control).
- Evaluation of early post-operative complications, pain, and aesthetic satisfaction.
Main Results:
- No significant differences in patient demographics or co-morbidities between groups.
- Operative time was longer in the three-trocar group.
- Higher patient satisfaction with aesthetic results was observed in the three-trocar group.
Conclusions:
- The three-trocar sleeve gastrectomy is safe and effective.
- It leads to greater patient aesthetic satisfaction without increased early surgical complications.
- A modest increase in operative time is noted.
