Single Incision Laparoscopic Sleeve Gastrectomy (SILS): A Novel Technique

Background Laparoscopic sleeve gastrectomy is an emerging bariatric procedure that typically necessitates five to seven small skin incisions to place five to seven trocars. The senior author (Saber) has developed a single umbilical incision approach to laparoscopic sleeve gastrectomy. Methods Seven...

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Bibliographic Details
Published in:Obesity surgery 2008-10, Vol.18 (10), p.1338-1342
Main Authors: Saber, Alan A., Elgamal, Mohamed H., Itawi, Ed A., Rao, Arun J.
Format: Article
Language:English
Subjects:
Adult
Body Mass Index
Cohort Studies
Feasibility Studies
Female
Gastrectomy - adverse effects
Gastrectomy - methods
Gastrointestinal surgery
Humans
Laparoscopy - adverse effects
Laparoscopy - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Modern Surgery: Technical Innovation
Obesity
Obesity, Morbid - surgery
Retrospective Studies
Surgery
Surgical outcomes
Surgical techniques
Treatment Outcome
Umbilicus
Weight Loss
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Summary:Background Laparoscopic sleeve gastrectomy is an emerging bariatric procedure that typically necessitates five to seven small skin incisions to place five to seven trocars. The senior author (Saber) has developed a single umbilical incision approach to laparoscopic sleeve gastrectomy. Methods Seven patients underwent single access transumbilical laparoscopic sleeve gastrectomy between March 2008 and July 2008. The same surgeon performed all surgical interventions. The umbilicus was the sole point of entry for all patients, and the same operative technique and perioperative protocol were used in all patients. Results A total of seven single-incision laparoscopic sleeve gastrectomies were performed. The procedure was successfully performed in all patients. Mean operating time was 125 min. None of the patients required conversion to an open procedure. There were no mortalities or postoperative complications noted during the mean follow-up period of 3.4 months. Conclusion Single-incision transumbilical laparoscopic sleeve gastrectomy is safe, technically feasible, and reproducible.
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-008-9646-0