Single-incision sleeve gastrectomy using a novel technique for liver retraction

Carlos A Galvani, Mark Choh, Maria V. Gorodner

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Introduction: Laparoscopic sleeve gastrectomy has rapidly gained popularity in the field of bariatric surgery, mainly due to its low morbidity and mortality. Traditionally, 4 to 6 trocars are used. Single-access surgery has emerged as an attempt to decrease incisional morbidity and enhance cosmetic benefits. We present our initial 7 patients undergoing single-incision laparoscopic sleeve gastrectomy using a novel technique for liver retraction. Methods: Patients who underwent single-incision laparoscopic sleeve gastrectomy between March 2009 and May 2009 were analyzed. A 4-cm left paramedian incision was used. Laparoscopic sleeve gastrectomy was performed in a standard fashion using a 40 French bougie. Results: Seven patients underwent single-incision sleeve gastrectomy at the University of Illinois at Chicago. They were all female with a mean age of 34 years. Preoperative BMI was 49kg/m2 (range, 39 to 64). There were no intra-operative complications. Mean operative time was 103 minutes. Estimated blood loss was minimal. All 7 patients were discharged on postoperative day 2 and were doing well without any complications at 3.1±0.7 months after surgery. Conclusion: Single-incision laparoscopic sleeve gastrectomy is safe and feasible and can be performed without changing the existing principles of the procedure. Our technique for internal liver retraction provides adequate exposure and is reproducible. Development of improved standard instrumentation is required for this technique to become popular.

Original languageEnglish (US)
Pages (from-to)228-233
Number of pages6
JournalJSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
Volume14
Issue number2
DOIs
StatePublished - Apr 2010
Externally publishedYes

Fingerprint

Gastrectomy
Liver
Morbidity
Bariatric Surgery
Operative Time
Surgical Instruments
Cosmetics
Mortality

Keywords

  • Bariatric surgery
  • Laparoscopic sleeve gastrectomy
  • Liver retraction
  • Single-incision laparoscopic surgery

ASJC Scopus subject areas

  • Surgery

Cite this

Single-incision sleeve gastrectomy using a novel technique for liver retraction. / Galvani, Carlos A; Choh, Mark; Gorodner, Maria V.

In: JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons, Vol. 14, No. 2, 04.2010, p. 228-233.

Research output: Contribution to journalArticle

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