Laparoscopic Three-Port Sleeve Gastrectomy: Description of the Technique and Preliminary Results | ||||
The Medical Journal of Cairo University | ||||
Article 89, Volume 89, June, June 2021, Page 1163-1169 PDF (17.75 MB) | ||||
DOI: 10.21608/mjcu.2021.185004 | ||||
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Authors | ||||
HOSAM B. BARAKAT, M.D.; ALHASSAN M. HASSAN, M.D.; SHERIF M. ELGARF, M.D.; GAMAL I. MOUSSA, M.D.; TAMER M. ELMAHDY, M.D. | ||||
The Department of General Surgery, Faculty of Medicine, Tanta University | ||||
Abstract | ||||
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. | ||||
Keywords | ||||
Laparoscopic sleeve; Three port; Weight loss | ||||
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