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Single-incision laparoscopic bariatric surgery
BACKGROUND: Bariatric surgery has been established as the best option of treatment for morbid obesity. In recent years single-incision laparoscopic surgery (SILS) has emerged as another modality of carrying out the bariatric procedures. While SILS represents an advance, its application in morbid obe...
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Formato: | Texto |
Lenguaje: | English |
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Medknow Publications
2011
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3002018/ https://www.ncbi.nlm.nih.gov/pubmed/21197253 http://dx.doi.org/10.4103/0972-9941.72397 |
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author | Huang, Chih-Kun |
author_facet | Huang, Chih-Kun |
author_sort | Huang, Chih-Kun |
collection | PubMed |
description | BACKGROUND: Bariatric surgery has been established as the best option of treatment for morbid obesity. In recent years single-incision laparoscopic surgery (SILS) has emerged as another modality of carrying out the bariatric procedures. While SILS represents an advance, its application in morbid obesity at present is limited. In this article, we review the technique and results of SILS in bariatric surgery. METHODS: The PubMed database was searched and totally 11 series reporting SILS in bariatric surgery were identified and analyzed. The case reports were excluded. Since 2008, 114 morbidly obese patients receiving SILS bariatric surgeries were reported. RESULTS: The procedures performed included SILS gastric banding, sleeve gastrectomy and gastric bypass. No mortality was reported in the literatures. Sixteen patients (14.05%) needed an additional incision for a liver retractor, a trocar or for conversion. Only one complication of wound infection was reported in these series. All the surgeons reported that the patients were highly satisfied with the scar. CONCLUSION: Because of abundant visceral and subcutaneous fat and multiple comorbidities in morbid obesity, it is more challenging for surgeons to perform the procedures with SILS. It is clear that extensive development of new instruments and technical aspects of these procedures as well as randomized studies to compare them with traditional laparoscopy are essential before these procedures can be utilized in day-to-day clinical practice. |
format | Text |
id | pubmed-3002018 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-30020182011-01-01 Single-incision laparoscopic bariatric surgery Huang, Chih-Kun J Minim Access Surg Bariatric Surgery BACKGROUND: Bariatric surgery has been established as the best option of treatment for morbid obesity. In recent years single-incision laparoscopic surgery (SILS) has emerged as another modality of carrying out the bariatric procedures. While SILS represents an advance, its application in morbid obesity at present is limited. In this article, we review the technique and results of SILS in bariatric surgery. METHODS: The PubMed database was searched and totally 11 series reporting SILS in bariatric surgery were identified and analyzed. The case reports were excluded. Since 2008, 114 morbidly obese patients receiving SILS bariatric surgeries were reported. RESULTS: The procedures performed included SILS gastric banding, sleeve gastrectomy and gastric bypass. No mortality was reported in the literatures. Sixteen patients (14.05%) needed an additional incision for a liver retractor, a trocar or for conversion. Only one complication of wound infection was reported in these series. All the surgeons reported that the patients were highly satisfied with the scar. CONCLUSION: Because of abundant visceral and subcutaneous fat and multiple comorbidities in morbid obesity, it is more challenging for surgeons to perform the procedures with SILS. It is clear that extensive development of new instruments and technical aspects of these procedures as well as randomized studies to compare them with traditional laparoscopy are essential before these procedures can be utilized in day-to-day clinical practice. Medknow Publications 2011 /pmc/articles/PMC3002018/ /pubmed/21197253 http://dx.doi.org/10.4103/0972-9941.72397 Text en © Journal of Minimal Access Surgery http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Bariatric Surgery Huang, Chih-Kun Single-incision laparoscopic bariatric surgery |
title | Single-incision laparoscopic bariatric surgery |
title_full | Single-incision laparoscopic bariatric surgery |
title_fullStr | Single-incision laparoscopic bariatric surgery |
title_full_unstemmed | Single-incision laparoscopic bariatric surgery |
title_short | Single-incision laparoscopic bariatric surgery |
title_sort | single-incision laparoscopic bariatric surgery |
topic | Bariatric Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3002018/ https://www.ncbi.nlm.nih.gov/pubmed/21197253 http://dx.doi.org/10.4103/0972-9941.72397 |
work_keys_str_mv | AT huangchihkun singleincisionlaparoscopicbariatricsurgery |