Single-Incision Laparoscopic Gastric Bypass for Morbid Obesity

Abstract

Emerging technology has contributed to the diffusion of SILS; single-incision laparoscopy is validated and established in cholecystectomy and is gaining acceptance in other techniques also. High technical skill is required for manipulating, measuring, and suturing the bowel with articulated instruments. However, randomized, controlled trials are required to determine the real advantages of this technique in comparison with standard laparoscopy.

Transvaginal-hybrid vs. single-port-access vs. ‘conventional’ laparoscopic cholecystectomy: a prospective observational study

“…In the literature, a multitude of surgical procedures denoted as NOS-or single-incision techniques are reported. The spectrum ranges from the transgastric (hybrid) appendectomy and the single-incision sigmoid resection up to bariatric procedures performed via this route of access [5][6][7][8].…”

Mini-Gastric Bypass for Bariatric Surgery Increasing Worldwide

“…Greco and Tacchino have performed >1,300 MGBs by SingleIncision Laparoscopic Surgery (SILS) [27]. They subsequently reported their modification of the MGB called the "ileal food diversion" [28]; they construct a larger gastric pouch, turning the staple-line toward the greater curvature leaving the fundus in place and perform the gastro-intestinal anastomosis 300 cm proximal to ileocecal valve, leaving a 300 cm common channel.…”

Novel/Experimental Bariatric Techniques

“…It has been reported to be feasible for gastric banding [25] as well as gastric bypass [26]. It has also been described for even more complex procedures such as biliopancreatic diversion (although the distal stomach was left in place) [27].…”