Comparison of short-term outcomes between multi-port and single-port sleeve gastrectomy: a prospective study
Keywords:Laparoscopic sleeve gastrectomy, Single-incision laparoscopic surgery, SPSG
Background: Single-incision laparoscopic surgery has attracted a great deal of interest in the surgical community in recent years, including bariatric surgery. Literature is scarce about operative and clinical outcomes of single port sleeve gastrectomy (SPSG) compared to conventional laparoscopy. SPSG has been proposed as an alternative to the multiport laparoscopic procedure; however, it has yet to meet wide acceptance and application.
Methods: This was a prospective non-randomized clinical study, to evaluate the feasibility and short-term outcomes of SPSG in comparison to the conventional multiport sleeve gastrectomy (MPSG).
Results: Weight loss, resolution of comorbidities, length of hospital stay, complications were almost comparable in both groups. Operating times were longer in SPSG group. Two patients only required re-laparoscopy, one in either group. There were no leakage or mortalities. Patients in the SPSG group had better wound satisfaction and less post-operative pain.
Conclusions: SPSG is a safe, effective, and feasible surgical procedure for morbid obesity in selected individuals and comparable to the conventional laparoscopic technique in terms of outcomes. It has equally effective weight loss and resolution of comorbidities. It also has the added benefits of little/ no visible scarring and reduced postoperative pain.
El-Ghazaly TH, Elian A. Single-incision transumbilical laparoscopic sleeve gastrectomy. J Laparoendosc Adv Surg Tech A. 2020;19(6):755-8.
Gaillard M, Tranchart H, Lainas P, Ferretti S. Single-port laparoscopic sleeve gastrectomy as a routine procedure in 1000 patients. Surg Obe Rel Dis. 2016;12(7):1270-7.
Dimitrokallis N, Alexandrou A, Schizas D, Angelou A. Single-Incision Laparoscopic Sleeve Gastrectomy: Review and a Critical Appraisal. J Laparoendosc Adv Surg Tech A. 2017;27(3):217-26.
Mittermair R, Pratschke J, Sucher R. Single-incision laparoscopic sleeve gastrectomy. Am Surg. 2013;79(4):393-7.
Chan YH. Biostatistics 102: Quantitative Data-Parametric and Non-parametric Tests. Singapore Med J. 2003;44(8):391-6.
Chan YH. Biostatistics 103: Qualitative Data-Tests of Independence. Singapore Med J. 2003;44(10):498-503.
Maluenda F, Leon J, Csendes A, Burdiles P, Giordano J, Molina M. Single-incision laparoscopic sleeve gastrectomy: initial experience in 20 patients and 2-year follow-up. Eur Surg. 2014;46:32-7.
Magouliotis DE, Tasiopoulou VS, Svokos AA, Svokos KA. Single Incision Versus Conventional Laparoscopic Sleeve Gastrectomy for Morbid Obesity: A Meta-Analysis. J Laparoendoscopic Adv Surg Tech. 2018;28:6.
Delgado S, Ibarzabal A, Adelsdorfer C, Adelsdorfer W, Corcelles R, Momblan D et al. Trans-umbilical single-port sleeve gastrectomy: Initial experience and comparative study. Surg Endosc. 2017;26:1247-53.
Lakdawala M, Agarwal A, Dhar S, Dhulla N, Remedios C, Bhasker AG. Single-incision sleeve gastrectomy versus laparoscopic sleeve gastrectomy. A 2-year comparative analysis of 600 patients. Obes Surg. 2015;25(4):607-14.
Shi X, Karmali S, Sharma AM, Birch DW. A review of laparoscopic sleeve gastrectomy for morbid obesity. Obes Surg. 2010;20:1171-7.
Hosseini SV, Hosseini SA, Al-Hurry AM. Comparison of Early Results and Complications between Multi-and Single-Port Sleeve Gastrectomy: A Randomized Clinical Study; Iran J Med Sci. 2017;42(3):251-7.