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

Saber, Alan A.; Elgamal, M. H. A.; Itawi, Ed A.; Rao, Arun J.

doi:10.1007/s11695-008-9646-0

Cited by 210 publications

(139 citation statements)

References 16 publications

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“…In recent years, reduced port surgery (RPS), including single port surgery (SPS), in which fewer ports are used than in conventional procedures, has become increasingly popular in various surgical fields [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. There have been reports describing the application of RPS to laparoscopic sleeve gastrectomy for morbid obesity or laparoscopic partial gastrectomy for gastrointestinal stromal tumors, and the use of RPS has recently also been reported in laparoscopy-assisted distal gastrectomy for gastric cancer [1,7,[15][16][17].…”

Section: Introductionmentioning

confidence: 99%

“…There have been reports describing the application of RPS to laparoscopic sleeve gastrectomy for morbid obesity or laparoscopic partial gastrectomy for gastrointestinal stromal tumors, and the use of RPS has recently also been reported in laparoscopy-assisted distal gastrectomy for gastric cancer [1,7,[15][16][17]. However, to date, the use of RPS in laparoscopyassisted total gastrectomy (LATG), a procedure that requires high levels of technical expertise, has not been reported.…”

Section: Introductionmentioning

confidence: 99%

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The initial experience of dual port laparoscopy-assisted total gastrectomy as a reduced port surgery for total gastrectomy

et al. 2012

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Reduced port surgery (RPS), in which fewer ports are used than that in a conventional laparoscopic procedure, is becoming increasingly popular for various surgeries. However, the application of RPS to the field of gastrectomy is still underdeveloped. We started laparoscopy-assisted total gastrectomy through an umbilical port plus another 5 mm port (dual port laparoscopy-assisted total gastrectomy: DP-LATG) as an RPS for laparoscopyassisted total gastrectomy (LATG). A SILS TM port was inserted into an umbilical incision, while another 5 mm port was inserted at the right flank region. We performed DP-LATG on ten early gastric cancer cases consecutively from May 2011 onwards, with the surgeries all performed by a single surgeon. The results of DP-LATG were compared with the resuls of ten conventional LATGs (C-LATGs) that were performed between March 2010 and April 2011. There were no significant differences in the mean operation time (DP-LATG, 253.0 ± 26.8 min; C-LATG, 235.5 ± 20.6 min; p = 0.119), mean blood loss (33.4 ± 23.7, 39.8 ± 60.4 mL, p = 0.759), and number of lymph nodes dissected (31.6 ± 12.3, 40.9 ± 18.7, p = 0.205). There were no intraoperative complications, there was no need for additional ports, and there were no conversions to open surgery nor postoperative complications in the DP-LATG cases. We successfully and safely performed DP-LATG without incurring any notable differences from C-LATG in terms of operation time, blood loss, and number of lymph nodes dissected.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The initial experience of dual port laparoscopy-assisted total gastrectomy as a reduced port surgery for total gastrectomy

et al. 2012

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“…El aumento de la distancia xifoumbilical, se ha manejado en diferentes experiencias básicamente seleccionando a los pacientes, utilizando instrumental de mayor longitud, o realizando la incisión para el acceso por puerto único por sobre el ombligo 11,46 . La separación hepática se ha solucionado a través de suturas o separadores hepáticos percutáneos, trocares accesorios o utilizando el mismo estómago como instrumento de separación 17,47 . A nuestro juicio, resulta imprescindible una adecuada separación hepática, para acceder y visualizar adecuadamente el ángulo de His en cirugía bariátrica; y no obtenerla constituye un riesgo no transable para el procedimiento.…”

Section: Discussionunclassified

Gastrectomía en manga transumbilical con técnica simplificada: técnica y resultados quirúrgicos en 100 pacientes

et al. 2012

Rev Chil Cir

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Simplifi ed transumbilical sleeve gastrectomy. Technique and surgical results in 100 patientsBackground: The use of transumbilical approach for sleeve gastrectomy has been recently reported, using different technique variations. Aim: To report the technique and surgical results of a transumbilical approach simplifi ed sleeve gastrectomy, using rigid instruments. Material and Methods: Ninety four women and six men, selected by a multidisciplinary team, underwent transumbilical sleeve gastrectomy. The operative technique involved a transumbilical incision, introduction of a SILS ® or GelPoint ® multiport, and a 5mm metallic accessory trocar laterally in the left fl ank. Rigid instruments were used in all patients. The greater curvature was dissected from 4-5 cm above the pylorus to the angle of His. Gastric transection was completed with a stapler, and calibrated with a 36 French tube advanced through the pylorus. Hemostasis of the staple line was carried out with metallic clips. A barium swallow was performed in ten randomly chosen patients, confi rming the correct tubular shape of the stomach. Results: Body mass index of operated patients ranged from 30 to 43 kg/m 2 . Mean operative time was 56.4 ± 16.7 minutes. During the early postoperative period, two patients had a hemoperitoneum, one had an antral leak and one had an intestinal perforation. No conversion to conventional laparoscopy or open technique was required. No patient died. The mean length of hospital stay was 2.3 ± 0.5 days. The cosmetic result was satisfactory for all patients. Conclusions: Transumbilical sleeve gastrectomy is a safe and feasible procedure with the reported technique. The insertion of an accessory 5mm trocar in the left fl ank simplifi es the procedure, allowing the use of rigid instruments.

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“…Applications of SILS have expanded rapidly and various procedures including bariatric surgery have been carried out with this technique. Initially, SILS was used in bariatric procedures such as adjustable gastric banding (AGB) and sleeve gastrectomy because these procedures require the extension of a trocar incision for the placement of a subcutaneous port or for extracting the resected gastric specimen [10][11][12]. The incision was mainly in the upper abdomen in the beginning in this single-incision transabdominal (SITA) laparoscopic approach.…”

Section: Sils Bariatric Surgerymentioning

confidence: 99%

Scarless Bariatric Surgery

Huang¹,

Goel²,

Pattanshetti³

2012

Advanced Bariatric and Metabolic Surgery

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

Abstract: Single-incision transumbilical laparoscopic sleeve gastrectomy is safe, technically feasible, and reproducible.

Cited by 210 publications

References 16 publications

The initial experience of dual port laparoscopy-assisted total gastrectomy as a reduced port surgery for total gastrectomy

The initial experience of dual port laparoscopy-assisted total gastrectomy as a reduced port surgery for total gastrectomy

Gastrectomía en manga transumbilical con técnica simplificada: técnica y resultados quirúrgicos en 100 pacientes

Scarless Bariatric Surgery

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