Transumbilical Single-Incision Laparoscopic Sleeve Gastrectomy

José Ignacio Fernández Fernández, Carlos O. Farías, Cristián L. Ovalle, Carolina S. Cabrera, Jaime C. de la Maza

Resultado de la investigación: Article

11 Citas (Scopus)

Resumen

Background: Sleeve gastrectomy has become an established primary bariatric surgical technique. Its relatively lower complexity has made it eligible to be performed by single-incision laparoscopy (single-incision laparoscopic sleeve gastrectomy, SILSG). The aim of this paper is to present our SILSG technique and surgical outcomes and demonstrate that SILSG is a safe and feasible procedure using conventional laparoscopic instruments.

Methods: All patients who underwent SILSG since December 2012 in our institution were analyzed. The operative technique involved creation of a transumbilical incision and the introduction of a GelPoint device with four trocars. Rigid instruments were used in all patients. Gastric transection was performed 4 cm proximal to the pylorus and calibrated with a 36-Fr bougie. Hemostasis of the staple line was achieved with metallic clips.

Results: A total of 74 patients underwent SILSG. Their mean age and body mass index were 34.2 ± 9.2 years and 34.0 ± 3.2 kg/m2 (range 30.0–42.7 kg/m2), respectively. The mean operative time was 48 ± 10 min. No reoperations or deaths occurred. One patient developed portal vein thrombosis. The mean length of hospital stay was 2.4 ± 2.0 days. The cosmetic result was satisfactory in all patients.

Conclusions: SILSG is a safe and feasible procedure when performed with the technique described herein. This technique allows for the use of conventional laparoscopic instruments and reasonable operative times. The main benefit of the procedure is an excellent cosmetic result with virtually no visible scars.

Idioma originalEnglish
Páginas (desde-hasta)430-435
Número de páginas6
PublicaciónObesity Surgery
Volumen25
N.º3
DOI
EstadoPublished - 2015
Publicado de forma externa

Huella dactilar

Gastrectomy
Operative Time
Surgical Instruments
Cosmetics
Length of Stay
Bariatrics
Pylorus
Portal Vein
Hemostasis
Reoperation
Laparoscopy
Cicatrix
Stomach
Body Mass Index
Thrombosis
Equipment and Supplies

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Citar esto

Fernández, J. I. F., Farías, C. O., Ovalle, C. L., Cabrera, C. S., & de la Maza, J. C. (2015). Transumbilical Single-Incision Laparoscopic Sleeve Gastrectomy. Obesity Surgery, 25(3), 430-435. https://doi.org/10.1007/s11695-014-1414-8
Fernández, José Ignacio Fernández ; Farías, Carlos O. ; Ovalle, Cristián L. ; Cabrera, Carolina S. ; de la Maza, Jaime C. / Transumbilical Single-Incision Laparoscopic Sleeve Gastrectomy. En: Obesity Surgery. 2015 ; Vol. 25, N.º 3. pp. 430-435.
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abstract = "Background: Sleeve gastrectomy has become an established primary bariatric surgical technique. Its relatively lower complexity has made it eligible to be performed by single-incision laparoscopy (single-incision laparoscopic sleeve gastrectomy, SILSG). The aim of this paper is to present our SILSG technique and surgical outcomes and demonstrate that SILSG is a safe and feasible procedure using conventional laparoscopic instruments.Methods: All patients who underwent SILSG since December 2012 in our institution were analyzed. The operative technique involved creation of a transumbilical incision and the introduction of a GelPoint device with four trocars. Rigid instruments were used in all patients. Gastric transection was performed 4 cm proximal to the pylorus and calibrated with a 36-Fr bougie. Hemostasis of the staple line was achieved with metallic clips.Results: A total of 74 patients underwent SILSG. Their mean age and body mass index were 34.2 ± 9.2 years and 34.0 ± 3.2 kg/m2 (range 30.0–42.7 kg/m2), respectively. The mean operative time was 48 ± 10 min. No reoperations or deaths occurred. One patient developed portal vein thrombosis. The mean length of hospital stay was 2.4 ± 2.0 days. The cosmetic result was satisfactory in all patients.Conclusions: SILSG is a safe and feasible procedure when performed with the technique described herein. This technique allows for the use of conventional laparoscopic instruments and reasonable operative times. The main benefit of the procedure is an excellent cosmetic result with virtually no visible scars.",
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Fernández, JIF, Farías, CO, Ovalle, CL, Cabrera, CS & de la Maza, JC 2015, 'Transumbilical Single-Incision Laparoscopic Sleeve Gastrectomy', Obesity Surgery, vol. 25, n.º 3, pp. 430-435. https://doi.org/10.1007/s11695-014-1414-8

Transumbilical Single-Incision Laparoscopic Sleeve Gastrectomy. / Fernández, José Ignacio Fernández; Farías, Carlos O.; Ovalle, Cristián L.; Cabrera, Carolina S.; de la Maza, Jaime C.

En: Obesity Surgery, Vol. 25, N.º 3, 2015, p. 430-435.

Resultado de la investigación: Article

TY - JOUR

T1 - Transumbilical Single-Incision Laparoscopic Sleeve Gastrectomy

AU - Fernández, José Ignacio Fernández

AU - Farías, Carlos O.

AU - Ovalle, Cristián L.

AU - Cabrera, Carolina S.

AU - de la Maza, Jaime C.

PY - 2015

Y1 - 2015

N2 - Background: Sleeve gastrectomy has become an established primary bariatric surgical technique. Its relatively lower complexity has made it eligible to be performed by single-incision laparoscopy (single-incision laparoscopic sleeve gastrectomy, SILSG). The aim of this paper is to present our SILSG technique and surgical outcomes and demonstrate that SILSG is a safe and feasible procedure using conventional laparoscopic instruments.Methods: All patients who underwent SILSG since December 2012 in our institution were analyzed. The operative technique involved creation of a transumbilical incision and the introduction of a GelPoint device with four trocars. Rigid instruments were used in all patients. Gastric transection was performed 4 cm proximal to the pylorus and calibrated with a 36-Fr bougie. Hemostasis of the staple line was achieved with metallic clips.Results: A total of 74 patients underwent SILSG. Their mean age and body mass index were 34.2 ± 9.2 years and 34.0 ± 3.2 kg/m2 (range 30.0–42.7 kg/m2), respectively. The mean operative time was 48 ± 10 min. No reoperations or deaths occurred. One patient developed portal vein thrombosis. The mean length of hospital stay was 2.4 ± 2.0 days. The cosmetic result was satisfactory in all patients.Conclusions: SILSG is a safe and feasible procedure when performed with the technique described herein. This technique allows for the use of conventional laparoscopic instruments and reasonable operative times. The main benefit of the procedure is an excellent cosmetic result with virtually no visible scars.

AB - Background: Sleeve gastrectomy has become an established primary bariatric surgical technique. Its relatively lower complexity has made it eligible to be performed by single-incision laparoscopy (single-incision laparoscopic sleeve gastrectomy, SILSG). The aim of this paper is to present our SILSG technique and surgical outcomes and demonstrate that SILSG is a safe and feasible procedure using conventional laparoscopic instruments.Methods: All patients who underwent SILSG since December 2012 in our institution were analyzed. The operative technique involved creation of a transumbilical incision and the introduction of a GelPoint device with four trocars. Rigid instruments were used in all patients. Gastric transection was performed 4 cm proximal to the pylorus and calibrated with a 36-Fr bougie. Hemostasis of the staple line was achieved with metallic clips.Results: A total of 74 patients underwent SILSG. Their mean age and body mass index were 34.2 ± 9.2 years and 34.0 ± 3.2 kg/m2 (range 30.0–42.7 kg/m2), respectively. The mean operative time was 48 ± 10 min. No reoperations or deaths occurred. One patient developed portal vein thrombosis. The mean length of hospital stay was 2.4 ± 2.0 days. The cosmetic result was satisfactory in all patients.Conclusions: SILSG is a safe and feasible procedure when performed with the technique described herein. This technique allows for the use of conventional laparoscopic instruments and reasonable operative times. The main benefit of the procedure is an excellent cosmetic result with virtually no visible scars.

KW - LESS

KW - SILS

KW - Single incision

KW - Single port

KW - Sleeve gastrectomy

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U2 - 10.1007/s11695-014-1414-8

DO - 10.1007/s11695-014-1414-8

M3 - Article

C2 - 25160092

AN - SCOPUS:84924087268

VL - 25

SP - 430

EP - 435

JO - Obesity Surgery

JF - Obesity Surgery

SN - 0960-8923

IS - 3

ER -

Fernández JIF, Farías CO, Ovalle CL, Cabrera CS, de la Maza JC. Transumbilical Single-Incision Laparoscopic Sleeve Gastrectomy. Obesity Surgery. 2015;25(3):430-435. https://doi.org/10.1007/s11695-014-1414-8