Laparoscopic Three-Port Sleeve Gastrectomy

Abstract

Aim:

To assess and compare the practicability and efficacy of laparoscopic three-port sleeve gastrectomy (3PSG) and conventional laparoscopic sleeve gastrectomy (LSG).

Materials and Methods:

A prospectively constructed database of patients who underwent 3PSG (group 1) and conventional LSG (group 2), each containing 70 patients, was retrospectively analyzed.

Results:

The mean follow-up was 9.5 ± 1.1 months for both groups. Mean operation time was longer in group 1 (47.2 ± 8.9 min vs. 40.7 ± 7.5 min, p < 0.001). There were no intraoperative complications in either group. The median visual analogic scale was 2 (range, 1–5) in both groups (p > 0.05). The mean narcotic analgesic rescue needs on the postoperative first and second days were less in group 1 (p < 0.001, and p < 0.05, respectively). Wound infection at 12 mm port site was observed in 5 and 15 trocar sites in group 1 and group 2 (p < 0.05), respectively. At mean 9.5 ± 1.1 months follow-up, with no lost, excess BMI loss percentage (%EBMIL) was 69.3 ± 29.7 in group 1, and 66.1 ± 26.0 in group 2 (p > 0.05).

Conclusion:

LSG can be performed without using of a retractor device inserted in a subxiphoid incision. 3PSG is a feasible technique without affecting EBMIL rates. It does not require highly experienced surgeons or special equipment in comparison with single incision laparoscopic surgery-sleeve gastrectomy.