Single-Laparoscopic Incision Transabdominal Surgery Sleeve Gastrectomy

Reavis, Kevin M.; Hinojosa, Marcelo W.; Smith, Brian R.; Nguyen, Ninh T.

doi:10.1007/s11695-008-9649-x

Cited by 159 publications

(105 citation statements)

References 10 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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“…También en estos pacientes, el hígado graso está presente frecuentemente; lo cual implica un lóbulo hepático izquierdo muchas veces de gran tamaño. 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 .…”

Section: Discussionunclassified

“…Actualmente, la GM ha crecido en popularidad como procedimiento bariátrico primario, incrementándose exponencialmente el número de pacientes sometidos a este procedimiento, y a su vez las series publicadas al respecto [7][8][9][10] . Desde el año 2008, se han publicado diversas experiencias de gastrectomía en manga por incisión única; la mayoría de ellas en pacientes seleccionados y con tiempos quirúrgicos que habitualmente superan las dos horas [11][12][13][14][15][16][17][18] . Nuestro grupo inicia en julio de 2010 su experiencia con el abordaje transumbilical laparoscópico para GM, colecistectomía y apendicectomía.…”

Section: Introductionunclassified

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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“…Further, new emerging techniques have been developed to reduce the invasiveness of laparoscopic surgery, such as the natural orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SILS). Although NOTES is still being studied because of the limitations of current instruments, SILS has been frequently applied in various clinical settings, such as cholecystectomy, appendectomy, colectomy, and sleeve gastrectomy for obesity [3,4]. However, there have been only three reports about single-incision laparoscopic distal gastrectomy (SIDG) for gastric cancers [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Single-incision laparoscopic total gastrectomy with D1+beta lymph node dissection for proximal early gastric cancer

et al. 2013

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Single-Laparoscopic Incision Transabdominal Surgery Sleeve Gastrectomy

Cited by 159 publications

References 10 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

Single-incision laparoscopic total gastrectomy with D1+beta lymph node dissection for proximal early gastric cancer

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