Single-port Laparoscopic Surgery for the Treatment of Severe Obesity: Review and Perspectives

Laïnas, Panagiotis; Derienne, Joseph; Dammaro, Carmelisa; Schoucair, Naim; Devaquet, Niaz; Dagher, Ibrahim

doi:10.1007/s11695-020-04620-2

Cited by 13 publications

(4 citation statements)

References 55 publications

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“…This is probably because low BMI patients seem easier to operate on due to less thick abdominal walls and decreased intraabdominal fat. Indeed, for severely obese patients, a recent systematic review suggested that intraoperative results and clinical outcomes of SILS SG, SILS RYGB and SILS gastric banding appear to be comparable with those of conventional laparoscopy [ 53 ], while SILS for SG has been proven to be safe and feasible with good outcomes [ 54 ]. However, caution should be taken for SILS RYGB, since additional trocars are very often necessary to achieve triangulation and further studies are necessary to draw conclusions on the safety and effectiveness of this technique.…”

Section: Discussionmentioning

confidence: 99%

Bariatric and metabolic surgery in patients with low body mass index: an online survey of 543 bariatric and metabolic surgeons

Shahmiri,

Parmar,

Yang

et al. 2023

BMC Surg

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Background Metabolic and bariatric surgery (MBS) in patients with low body mass index patients is a topic of debate. This study aimed to address all aspects of controversies in these patients by using a worldwide survey. Methods An online 35-item questionnaire survey based on existing controversies surrounding MBS in class 1 obesity was created by 17 bariatric surgeons from 10 different countries. Responses were collected and analysed by authors. Results A total of 543 bariatric surgeons from 65 countries participated in this survey. 52.29% of participants agreed with the statement that MBS should be offered to class-1 obese patients without any obesity related comorbidities. Most of the respondents (68.43%) believed that MBS surgery should not be offered to patients under the age of 18 with class I obesity. 81.01% of respondents agreed with the statement that surgical interventions should be considered after failure of non-surgical treatments. Conclusion This survey demonstrated worldwide variations in metabolic/bariatric surgery in patients with class 1 obesity. Precise analysis of these results is useful for identifying different aspects for future research and consensus building.

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Section: Discussionmentioning

confidence: 99%

Bariatric and metabolic surgery in patients with low body mass index: an online survey of 543 bariatric and metabolic surgeons

Shahmiri,

Parmar,

Yang

et al. 2023

BMC Surg

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“…Although SPSG is increasingly applied in obese patients, indications for the procedure are not established. Patient selection for SPSG is crucial since the transumbilical approach can be very difficult in tall patients with deep abdominal cavities 30 . Previous studies suggested that patients with a xipho-umbilical distance of > 15 cm or height of > 170 cm should be advised to undergo CLSG 9 , 20 , 31 .…”

Section: Discussionmentioning

confidence: 99%

Safety and effectiveness of reduced-port laparoscopic sleeve gastrectomy in Asian morbidly obese patients

Park

Lee

et al. 2021

Sci Rep

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Laparoscopic sleeve gastrectomy is the most frequently performed surgical intervention in patients with morbid obesity. Single-port sleeve gastrectomy (SPSG) and reduced-port sleeve gastrectomy (RPSG) are increasingly reported in the literature. This study compared the short-term outcomes of SPSG, RPSG, and conventional laparoscopic sleeve gastrectomy (CLSG). This is a single-center retrospective study of 238 morbidly obese patients, of whom 148 (62.2%) patients completed follow-up one year after surgery. Propensity score matching was performed on factors influencing the choice of approach, and fifty patients from the SPSG + RPSG and CLSG groups were successfully matched. The groups were comparable in postoperative weight loss, morbidity, pain, and resolution of obesity-related comorbidities. The percentage of excess weight loss after one year was 90.0% in the SPSG + RPSG group and 75.2% in the CLSG group (P < 0.001). Complication rates showed no significant difference. The CLSG group was superior in dyslipidemia remission (17 [37.0%] vs. 28 [63.6%], P = 0.018) in the total cohort; however, this difference disappeared after matching. Our results suggest that single-port and reduced-port approaches could be alternative choices for selected patients. As our study was limited by its retrospective nature and potential selection bias, further studies are necessary to set standardized guidelines for SPSG.

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“…Single-port technique in bariatric surgery has been described widely, however not in the SG-TB procedure [ 7 ]. In this study, we share our initial experience in performing single-port one anastomosis SG-TB (SG-OATB) (Fig.…”

Section: Introductionmentioning

confidence: 99%

Single-Port One Anastomosis Sleeve Gastrectomy with Transit Bipartition: Initial Experience and Technique

Widjaja,

Yang,

Dong

et al. 2024

OBES SURG

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Background Sleeve gastrectomy with transit bipartition (SG-TB) procedure has been gaining traction recently. While being a relatively novel procedure, it shows potentials to improve the standalone SG outcomes, such as diabetes remission and reflux. This article aims to show insights on performing SG-TB in one anastomosis fashion (SG-OATB) and single-port approach. Methods Three patients who underwent laparoscopic single-port SG-OATB at our hospital were included. The parameters included in this study comprised of age, gender, height, weight, body mass index (BMI), type 2 diabetes mellitus (T2DM) assessment, gastroesophageal reflux disease (GERD) assessment, length of the small bowel, the duration of the procedure, and 30-day readmission rate. Results The mean preoperative assessments for the three patients were as follows: two females vs. one male; age 38.7 ± 5.5 years old; weight 105.7 ± 5.4 kg; height 1.64 ± 0.11 m; BMI 39.3 ± 4.7 kg/m2; fasting blood glucose 6.7 ± 1.2 mmol/L; glycosylated hemoglobin level 7.1 ± 1.3%; GERD-Questionnaire score 6.3 ± 1.5; two patients with esophagitis grade A and B following endoscopy. The total duration of the procedure was 170.0 ± 26.5 min; there was no need for conversion to multiple-port in all patients. The 30-day readmission rate for all patients was 0%. Conclusion In our small cases of patients, single-port SG-OATB is feasible and safe. We found the closure of the anastomosis defect to be most technically demanding. To understand better the outcome of single-port SG-OATB, studies with larger sample and longer follow-up will be needed in the future.

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Single-port Laparoscopic Surgery for the Treatment of Severe Obesity: Review and Perspectives

Cited by 13 publications

References 55 publications

Bariatric and metabolic surgery in patients with low body mass index: an online survey of 543 bariatric and metabolic surgeons

Bariatric and metabolic surgery in patients with low body mass index: an online survey of 543 bariatric and metabolic surgeons

Safety and effectiveness of reduced-port laparoscopic sleeve gastrectomy in Asian morbidly obese patients

Single-Port One Anastomosis Sleeve Gastrectomy with Transit Bipartition: Initial Experience and Technique

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