Single-incision laparoscopic bariatric surgery
<b>Background:</b> 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 applic...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Journal of Minimal Access Surgery |
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| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2011;volume=7;issue=1;spage=99;epage=103;aulast=Huang |
| _version_ | 1828794865689821184 |
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| author | Huang Chih-Kun |
| author_facet | Huang Chih-Kun |
| author_sort | Huang Chih-Kun |
| collection | DOAJ |
| description | <b>Background:</b> 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. <b>Methods:</b> 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. <b>Results:</b> 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. <b>Conclusion:</b> 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. |
| first_indexed | 2024-12-12T03:54:38Z |
| format | Article |
| id | doaj.art-1136459c638a4ee2b44a3f9e22635d23 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-12T03:54:38Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-1136459c638a4ee2b44a3f9e22635d232022-12-22T00:39:17ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212011-01-017199103Single-incision laparoscopic bariatric surgeryHuang Chih-Kun<b>Background:</b> 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. <b>Methods:</b> 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. <b>Results:</b> 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. <b>Conclusion:</b> 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.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2011;volume=7;issue=1;spage=99;epage=103;aulast=HuangSingle-incision laparoscopic surgerysingle-incision transumbilical laparoscopic surgerySILSbariatric surgery |
| spellingShingle | Huang Chih-Kun Single-incision laparoscopic bariatric surgery Journal of Minimal Access Surgery Single-incision laparoscopic surgery single-incision transumbilical laparoscopic surgery SILS 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 | Single-incision laparoscopic surgery single-incision transumbilical laparoscopic surgery SILS bariatric surgery |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2011;volume=7;issue=1;spage=99;epage=103;aulast=Huang |
| work_keys_str_mv | AT huangchihkun singleincisionlaparoscopicbariatricsurgery |