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 original | English |
|---|---|
| Páginas (desde-hasta) | 430-435 |
| Número de páginas | 6 |
| Publicación | Obesity Surgery |
| Volumen | 25 |
| N.º | 3 |
| DOI | |
| Estado | Published - 2015 |
| Publicado de forma externa | Sí |
Huella dactilar
ASJC Scopus subject areas
- Surgery
- Endocrinology, Diabetes and Metabolism
- Nutrition and Dietetics
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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
UR - http://www.scopus.com/inward/record.url?scp=84924087268&partnerID=8YFLogxK
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 -