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Magnetic-Assisted Reduced-Port Sleeve Gastrectomy Versus Laparoscopic Sleeve Gastrectomy: a Comparative Study.
Guillermo Borjas1, Nestor Sánchez2, Ali Urdaneta2
1Unidad Internacional de Cirugía Bariátrica y Robotica - Clínica "La Sagrada Familia", Prolongación vial Amparo, Las Lomas con avenida, Maracaibo, 63, Venezuela. drguillermoborjas@hotmail.com.
Obesity Surgery
|May 20, 2023
Summary
Magnet-assisted reduced-port gastric sleeve surgery (RPSG-MA) offers shorter hospital stays compared to conventional laparoscopic sleeve gastrectomy (CLSG). This innovative technique is safe, feasible, and beneficial for patients undergoing bariatric surgery.
Area of Science:
- Bariatric Surgery Innovations
- Minimally Invasive Surgical Techniques
- Gastrointestinal Surgery
Background:
- Sleeve gastrectomy is a prevalent bariatric procedure.
- Reduced-port surgery assisted by magnets (RPSG-MA) represents a technological advancement.
- Comparison between RPSG-MA and conventional laparoscopic sleeve gastrectomy (CLSG) is warranted.
Purpose of the Study:
- To compare the short-term outcomes of magnet-assisted reduced-port sleeve gastrectomy (RPSG-MA) versus conventional laparoscopic sleeve gastrectomy (CLSG).
Main Methods:
- A comparative study included 150 patients undergoing RPSG-MA and 135 patients undergoing CLSG.
- Patient groups were matched for body mass index, age, sex, and comorbidities.
- Data collected included operative time, length of hospital stay, and complication rates.
Main Results:
- Operative times were comparable between RPSG-MA (52.5 min) and CLSG (52.9 min).
- RPSG-MA demonstrated a significantly shorter hospital stay (1.07 days) compared to CLSG (1.51 days).
- No conversions to open surgery or fatal events occurred; complication rates were similar, with minor magnetic device-related events in 3 cases.
Conclusions:
- Magnet-assisted reduced-port gastric sleeve surgery is safe and technically feasible.
- RPSG-MA offers significant benefits, including reduced hospital stay, compared to conventional laparoscopic techniques.
- This approach represents a promising advancement in bariatric surgery.
