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Related Experiment Video

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Techniques of Sleeve Gastrectomy and Modified Roux-en-Y Gastric Bypass in Mice
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Routine gastric suspension technique in single-port sleeve gastrectomy procedure.

Jianjun Yang1, Jason Widjaja1, Rui Wang1

  • 1Department of General Surgery, Fudan University Affiliated Huadong Hospital, Shanghai, 200040, People's Republic of China.

Surgical Endoscopy
|October 27, 2023
PubMed
Summary
This summary is machine-generated.

Single-port sleeve gastrectomy (SPSG) is a feasible and non-inferior laparoscopic technique compared to multiple-port sleeve gastrectomy (MPSG). A novel maneuver can improve the SPSG procedure for specific patients.

Keywords:
Bariatric surgeryComplicationsSingle portSleeve gastrectomyWeight loss

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Area of Science:

  • Bariatric Surgery
  • Minimally Invasive Surgery
  • Surgical Techniques

Background:

  • Single-port sleeve gastrectomy (SPSG) is a laparoscopic technique for sleeve gastrectomy (SG).
  • Technical challenges exist in SPSG, necessitating procedural improvements.
  • This study introduces a maneuver to enhance the SPSG procedure.

Purpose of the Study:

  • To describe a maneuver to improve single-port sleeve gastrectomy (SPSG).
  • To compare SPSG with multiple-port sleeve gastrectomy (MPSG) in terms of feasibility and outcomes.

Main Methods:

  • A comparative analysis of patients undergoing SPSG versus MPSG.
  • Inclusion criteria: laparoscopic SG between January 2022 and May 2023.
  • Parameters analyzed: demographics, conversion rate, drainage, readmission, complications, and weight loss percentage (%TWL).

Main Results:

  • 171 patients included: 96 in SPSG group, 75 in MPSG group.
  • No significant differences in preoperative or perioperative parameters (including %TWL) between SPSG and MPSG.
  • Similar complication rates between the two groups, with SPSG showing only grade 1 complications.

Conclusions:

  • Single-port sleeve gastrectomy (SPSG) is feasible and non-inferior to MPSG in selected patients.
  • The described maneuver may improve SPSG procedural efficiency.
  • Further research is required to fully establish the efficacy and safety of SPSG.