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Related Experiment Video

Updated: Jun 9, 2025

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
03:32

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

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Reduced Port Laparoscopic Sleeve Gastrectomy: A Systematic Review and Meta-analysis.

Lucía Gutiérrez-Ramírez1,2, Antonio Morandeira-Rivas3,4, Elisa Medina-Benítez5

  • 1Research Support Unit, Hospital Universitario Mancha Centro, 13600, Alcázar de San Juan, Spain.

Obesity Surgery
|October 30, 2024
PubMed
Summary
This summary is machine-generated.

Reduced port sleeve gastrectomy offers comparable safety and efficacy to conventional methods. While hospital stays and cosmetic outcomes may improve, overall clinical benefits require further investigation.

Keywords:
Bariatric surgeryMeta-analysisReduced port surgerySleeve gastrectomy

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Area of Science:

  • Bariatric Surgery
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Obesity is a growing global health concern requiring effective management strategies.
  • Laparoscopic sleeve gastrectomy is a common bariatric procedure.
  • Reduced port surgery aims to minimize surgical invasiveness and improve cosmesis.

Purpose of the Study:

  • To systematically review and meta-analyze the safety and efficacy of reduced port laparoscopic sleeve gastrectomy (RPLSG).
  • To compare RPLSG with conventional laparoscopic sleeve gastrectomy (CLSG).

Main Methods:

  • Systematic review and meta-analysis of 18 eligible articles.
  • Included 13 cohort studies and 5 randomized trials with 2945 patients.
  • Assessed postoperative complications, operative parameters, weight loss, comorbidity improvement, hospital stay, and cosmetic results.

Main Results:

  • No significant differences in total postoperative complications (OR 0.99; 95% CI 0.72-1.37) or severe complications (Clavien-Dindo ≥ IIIb) between RPLSG and CLSG.
  • Similar outcomes for operative time, blood loss, postoperative pain, weight loss, and comorbidity improvement.
  • RPLSG showed a slightly shorter hospital stay (WMD -0.23; 95% CI -0.39 to -0.07) and better short-term cosmetic results.

Conclusions:

  • Reduced port sleeve gastrectomy is a safe procedure for selected patients.
  • Current evidence does not clearly demonstrate significant clinical advantages of RPLSG over CLSG.
  • Further research is needed to clarify the long-term clinical benefits of RPLSG.