Evolution and Standardisation of Techniques in Single-Incision Laparoscopic Bariatric Surgery

Bariatric surgery has proven benefits for morbid obesity and its associated comorbidities. Laparoscopic approach is well established for bariatric surgery. Single-incision laparoscopic surgery (SILS) offers even more minimally invasive approach for the same with the added advantage of better cosmesi...

Full description

Saved in:
Bibliographic Details
Published in:Obesity surgery 2018-02, Vol.28 (2), p.574-583
Main Authors: Praveen Raj, P., Bhattacharya, Siddhartha, Parthasarathi, R., Senthilnathan, P., Rajapandian, S., Saravana Kumar, S., Palanivelu, C.
Format: Article
Language:English
Subjects:
Adult
Bariatric Surgery - methods
Bariatric Surgery - standards
Bariatric Surgery - trends
Female
Gastrectomy - adverse effects
Gastrectomy - methods
Gastrectomy - trends
Gastric Bypass - adverse effects
Gastric Bypass - methods
Gastric Bypass - trends
Gastrointestinal surgery
How I Do It
Humans
Laparoscopy
Laparoscopy - methods
Laparoscopy - standards
Laparoscopy - trends
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity
Obesity, Morbid - pathology
Obesity, Morbid - surgery
Reference Standards
Surgery
Surgical outcomes
Surgical techniques
Surgical Wound - pathology
Suture Techniques - standards
Sutures - standards
Treatment Outcome
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Bariatric surgery has proven benefits for morbid obesity and its associated comorbidities. Laparoscopic approach is well established for bariatric surgery. Single-incision laparoscopic surgery (SILS) offers even more minimally invasive approach for the same with the added advantage of better cosmesis. We have developed and standardised the SILS approach at our institute. We share our experience and technical “tips” and modifications which we have learnt over the years. Technical details of performing sleeve gastrectomy and Roux-en-Y gastric bypass with special attention to liver retraction, techniques of dissection in difficult areas, creation of anastomoses and suturing have all been described. In our experience and in experience of others, single-incision bariatric surgery is feasible. Use of conventional laparoscopic instruments makes single-incision approach practical for day-to-day practice. Supervised training is essential to learn these techniques.
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-017-3036-4