Original article

Three-port approach for laparoscopic sleeve gastrectomy

Expand
  • Department of General Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China

Received date: 2018-09-25

  Online published: 2020-07-25

Abstract

Objective To preliminarily evaluate the feasibility, safety and short-term clinical efficacy of three-port laparoscopic sleeve gastrectomy (TPLSG). Methods The clinical data of 39 patients performed laparoscopic sleeve gastrectomy (LSG) between January and July 2018 in our hospital were analyzed retrospectively. There were 20 patients with TPLSG and 19 patients with routine five-port LSG. The operative time and blood lost, surgical complications, postoperative pain and hospital stay, percentage of excess weight loss at 3 months postoperatively were compared between TPLSG and LSG. Results Less postoperative pain and reduced postoperative hospital stay in TPLSG group were found when compared with those in LSG group (P<0.05). There was no significant difference in operative time, operative blood loss, surgical complications and percentage of excess weight loss at 3 months postoperatively between two groups (P>0.05). Conclusions TPLSG would be a safe and effective surgical procedure which could accelerate the perioperative recovery and reduce hospital length of stay.

Cite this article

SHEN Jiahui, YANG Chengcan, WANG Wenyue, ZHANG Yuxiang, XU Hua, LI Kun, DAI Qiancheng, WANG Bing . Three-port approach for laparoscopic sleeve gastrectomy[J]. Journal of Surgery Concepts & Practice, 2018 , 23(06) : 515 -518 . DOI: 10.16139/j.1007-9610.2018.06.010

References

[1] 刘金钢, 郑成竹, 王勇. 中国肥胖和2型糖尿病外科治疗指南(2014)[J]. 中国实用外科杂志,2014,8(11):1005-1010.
[2] Gagliese L, Weizblit N, Ellis W, et al.The measurement of postoperative pain: a comparison of intensity scales in younger and older surgical patients[J]. Pain,2005,117(3):412-420.
[3] Kim SM, Ha MH, Seo JE, et al.Comparison of single-port and reduced-port totally laparoscopic distal gastrectomy for patients with early gastric cancer[J]. Surg Endosc,2015,30(9):3950-3957.
[4] Tawfik Amin A, Elsaba TM, Amira G.Three ports laparoscopic resection for colorectal cancer: a step on refining of reduced port surgery[J]. ISRN Surg,2014,2014:781549.
[5] Reavis KM, Hinojosa MW, Smith BR, et al.Single-laparoscopic incision transabdominal surgery sleeve gastrectomy[J]. Obes Surg,2008,18(11):1492-1494.
[6] Arru L, Azagra JS, Goergen M, et al.Three-port laparoscopic sleeve gastrectomy: feasibility and short outcomes in 25 consecutives super-obese patients[J]. Cir Esp,2013, 91(5):294-300.
[7] Corcelles R, Boules M, Froylich D, et al.Laparoscopic three-port sleeve gastrectomy: a single institution case series[J]. J Laparoendosc Adv Surg Tech A,2016,26(5):361-365.
[8] Consalvo V, Salsano V, Sarno G, et al.Three-trocar sleeve gastrectomy vs standard five-trocar technique: a randomized controlled trial[J]. Obes Surg,2017,27(12):3142-3148.
[9] Tonouchi H, Ohmori Y, Kobayashi M, et al.Trocar site hernia[J]. Arch Surg,2004,139(11):1248-1256.
[10] Lakdawala MA, Muda NH, Goel S, et al.Single-incision sleeve gastrectomy versus conventional laparoscopic sleeve gastrectomy--a randomised pilot study[J]. Obes Surg,2011,21(11):1664-1670.
Outlines

/