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Updated: Feb 11, 2026
05:16
Sleeve Gastrectomy in Mice using Surgical Clips
Published on: November 14, 2020
7.4K
Three-trocar laparoscopic duodenal switch after sleeve gastrectomy
Giovanni Dapri1, Jacques Himpens2, Laurent Biertho3
1Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Université Libre de Bruxelles, Brussels, Belgium; Laboratory of Anatomy, Faculty of Medicine and Pharmacy, University of Mons, Mons, Belgium.
Summary
Reduced port laparoscopic duodenal switch after laparoscopic sleeve gastrectomy (LSG) is a safe and feasible bariatric procedure. This minimally invasive technique offers enhanced cosmetic outcomes and quicker patient recovery.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Laparoscopic sleeve gastrectomy (LSG) is a common bariatric procedure.
- Duodenal switch (DS) is an effective bariatric procedure for super-obese patients or those with insufficient weight loss/regain after LSG.
- Reduced port surgery aims to minimize invasiveness and improve patient outcomes.
Purpose of the Study:
- To demonstrate the technique of reduced port laparoscopic duodenal switch (RP-LDS) as a secondary procedure after LSG.
- To highlight the safety, feasibility, and benefits of this minimally invasive approach.
Main Methods:
- The procedure involves a 12-mm umbilical trocar and two 5-mm flank trocars.
- Temporary percutaneous sutures are used for enhanced duodenal exposure.
- Specific techniques for duodeno-jejunostomy and jejuno-ileostomy are employed, with defect closure.
Main Results:
- Reduced port laparoscopic duodenal switch after LSG is shown to be safe and feasible.
- The technique offers enhanced cosmetic results.
- Associated benefits include reduced painkiller use, fewer trocar complications, and faster convalescence.
Conclusions:
- Reduced port laparoscopic duodenal switch following LSG is a viable and beneficial surgical option.
- This approach combines the efficacy of duodenal switch with the advantages of minimally invasive surgery.
- Further adoption may improve patient experience and surgical outcomes in bariatric surgery.
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