Laparoscopic Three-Port Sleeve Gastrectomy: Description of the Technique and Preliminary Results
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- Category: Vol. 89, June 2021
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Laparoscopic Three-Port Sleeve Gastrectomy: Description of the Technique and Preliminary Results, HOSAM B. BARAKAT, ALHASSAN M. HASSAN, SHERIF M. ELGARF, GAMAL I. MOUSSA and TAMER M. ELMAHDY
Abstract
Background: Up till now, there is no standardized tech-nique for performing Laparoscopic sleeve gastrectomy (LSG). Aim of Study: The aim of this study was to assess the feasibility of LSG by means of three port technique and reporting short term results. Patients and Methods: This was a prospective study donefrom February to December 2019. Twenty-eight morbidly obese patients (18 females and 10 males) were included. Mean age of 31.03±8.89 years, mean preoperative body mass index of 44.38±5.32kg/m2. This study discussed the patients' demo-graphics, operative technique, operative records, post-operative outcomes concerning excess weight loss, comorbiditiesreso-lution, complication rates, pain assessment and patients' scars satisfaction. Follow-up was done at 10 day, 1, 3, 6, and 12 months. Results: All procedures were completed laparoscopically. Mean operative time was 58.46±18.61 minutes. The mean hospital stay was 1.25±0.75 day. The %EWL was 23.91%, 40.22%, 55.69%, and 69.65% at 1, 3, 6, and 12 months, respectively. Within a 6 to 12 month postoperatively, 50% of patients with hypertension (AHT) presented with significant improvement, all diabetic patients described resolution or significant improvement and 62.5% of patients with arthralgia had improved. Conclusions: Three ports LSG is feasible without need for liver retractor port insertion, safe, effective, with short hospital stay and good cosmetic results.