Skip to main content
Top
Published in: Obesity Surgery 10/2008

01-10-2008 | Modern Surgery: Technical Innovation

Single Incision Laparoscopic Sleeve Gastrectomy (SILS): A Novel Technique

Authors: Alan A. Saber, Mohamed H. Elgamal, Ed A. Itawi, Arun J. Rao

Published in: Obesity Surgery | Issue 10/2008

Login to get access

Abstract

Background

Laparoscopic sleeve gastrectomy is an emerging bariatric procedure that typically necessitates five to seven small skin incisions to place five to seven trocars. The senior author (Saber) has developed a single umbilical incision approach to laparoscopic sleeve gastrectomy.

Methods

Seven patients underwent single access transumbilical laparoscopic sleeve gastrectomy between March 2008 and July 2008. The same surgeon performed all surgical interventions. The umbilicus was the sole point of entry for all patients, and the same operative technique and perioperative protocol were used in all patients.

Results

A total of seven single-incision laparoscopic sleeve gastrectomies were performed. The procedure was successfully performed in all patients. Mean operating time was 125 min. None of the patients required conversion to an open procedure. There were no mortalities or postoperative complications noted during the mean follow-up period of 3.4 months.

Conclusion

Single-incision transumbilical laparoscopic sleeve gastrectomy is safe, technically feasible, and reproducible.
Literature
1.
go back to reference Regan JP, Inabnet WB, Gagner M, et al. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003;13:861–4.PubMedCrossRef Regan JP, Inabnet WB, Gagner M, et al. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003;13:861–4.PubMedCrossRef
2.
go back to reference Deitel M, Crosby RD, Gagner M. The first international consensus summit for sleeve gastrectomy (SG), New York City, October 25–27, 2007. Obes Surg. 2008;18:487–96.PubMedCrossRef Deitel M, Crosby RD, Gagner M. The first international consensus summit for sleeve gastrectomy (SG), New York City, October 25–27, 2007. Obes Surg. 2008;18:487–96.PubMedCrossRef
3.
go back to reference Mognol P, Chosidow D, Marmuse JP. Laparoscopic sleeve gastrectomy as an initial bariatric operation for high-risk patients: initial results in 10 patients. Obes Surg. 2005;15:1030–3.PubMedCrossRef Mognol P, Chosidow D, Marmuse JP. Laparoscopic sleeve gastrectomy as an initial bariatric operation for high-risk patients: initial results in 10 patients. Obes Surg. 2005;15:1030–3.PubMedCrossRef
4.
go back to reference Roa PE, Kaidar-Person O, Pinto D, et al. Laparoscopic sleeve gastrectomy as treatment for morbid obesity: technique and short-term outcome. Obes Surg. 2006;16:1323–6.PubMedCrossRef Roa PE, Kaidar-Person O, Pinto D, et al. Laparoscopic sleeve gastrectomy as treatment for morbid obesity: technique and short-term outcome. Obes Surg. 2006;16:1323–6.PubMedCrossRef
5.
go back to reference Rané A, Rao P, Rao P. Single-port-access nephrectomy and other laparoscopic urologic procedures using a novel laparoscopic port (R-Port). Urology. 2008 (in press). Rané A, Rao P, Rao P. Single-port-access nephrectomy and other laparoscopic urologic procedures using a novel laparoscopic port (R-Port). Urology. 2008 (in press).
6.
go back to reference Goel RK, Kaouk JH. Single port access renal cryoablation (SPARC): a new approach. Eur Urol. 2008;53:1204–9.PubMedCrossRef Goel RK, Kaouk JH. Single port access renal cryoablation (SPARC): a new approach. Eur Urol. 2008;53:1204–9.PubMedCrossRef
7.
go back to reference Kaouk JH, Palmer JS. Single-port laparoscopic surgery: initial experience in children for varicocelectomy. BJU Int. 2008;102:97–9.PubMedCrossRef Kaouk JH, Palmer JS. Single-port laparoscopic surgery: initial experience in children for varicocelectomy. BJU Int. 2008;102:97–9.PubMedCrossRef
8.
go back to reference Kaouk JH, Haber GP, Goel RK, et al. Single-port laparoscopic surgery in urology: initial experience. Urology 2008;71:3–6.PubMedCrossRef Kaouk JH, Haber GP, Goel RK, et al. Single-port laparoscopic surgery in urology: initial experience. Urology 2008;71:3–6.PubMedCrossRef
9.
go back to reference Ponsky LE, Cherullo EE, Sawyer M, et al. Single access site laparoscopic radical nephrectomy: initial clinical experience. J Endourol. 2008;22:663–6.PubMedCrossRef Ponsky LE, Cherullo EE, Sawyer M, et al. Single access site laparoscopic radical nephrectomy: initial clinical experience. J Endourol. 2008;22:663–6.PubMedCrossRef
10.
go back to reference Tagaya N, Rokkaku K, Kubota K. Needlescopic cholecystectomy versus needlescope-assisted laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Technol. 2007;17:375–9.CrossRef Tagaya N, Rokkaku K, Kubota K. Needlescopic cholecystectomy versus needlescope-assisted laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Technol. 2007;17:375–9.CrossRef
11.
go back to reference Shalaby R, Shams AM, Mohamed S, et al. Two-trocar needlescopic approach to incarcerated inguinal hernia in children. J Pediatr Surg. 2007;42:1259–62.PubMedCrossRef Shalaby R, Shams AM, Mohamed S, et al. Two-trocar needlescopic approach to incarcerated inguinal hernia in children. J Pediatr Surg. 2007;42:1259–62.PubMedCrossRef
12.
go back to reference Liao CH, Chueh SC, Wu KD, et al. Laparoscopic partial adrenalectomy for aldosterone-producing adenomas with needlescopic instruments. Urology 2006;68:663–7.PubMedCrossRef Liao CH, Chueh SC, Wu KD, et al. Laparoscopic partial adrenalectomy for aldosterone-producing adenomas with needlescopic instruments. Urology 2006;68:663–7.PubMedCrossRef
13.
go back to reference Marks JM, Ponsky JL, Pearl JP, et al. PEG “Rescue”: a practical NOTES technique. Surg Endosc. 2007;21:816–9.PubMedCrossRef Marks JM, Ponsky JL, Pearl JP, et al. PEG “Rescue”: a practical NOTES technique. Surg Endosc. 2007;21:816–9.PubMedCrossRef
14.
go back to reference Zorrón R, Filgueiras M, Maggioni LC, et al. NOTES. Transvaginal cholecystectomy: report of the first case. Surg Innov. 2007;14:279–83.PubMedCrossRef Zorrón R, Filgueiras M, Maggioni LC, et al. NOTES. Transvaginal cholecystectomy: report of the first case. Surg Innov. 2007;14:279–83.PubMedCrossRef
15.
go back to reference Zorron R, Maggioni LC, Pombo L, et al. NOTES transvaginal cholecystectomy: preliminary clinical application. Surg Endosc. 2008;22:542–7.PubMedCrossRef Zorron R, Maggioni LC, Pombo L, et al. NOTES transvaginal cholecystectomy: preliminary clinical application. Surg Endosc. 2008;22:542–7.PubMedCrossRef
16.
go back to reference Saber AA, Meslemani AM, Davis R, et al. Safety zones for anterior abdominal wall entry during laparoscopy: a CT scan mapping of epigastric vessels. Ann Surg. 2004;239:182–5.PubMedCrossRef Saber AA, Meslemani AM, Davis R, et al. Safety zones for anterior abdominal wall entry during laparoscopy: a CT scan mapping of epigastric vessels. Ann Surg. 2004;239:182–5.PubMedCrossRef
Metadata
Title
Single Incision Laparoscopic Sleeve Gastrectomy (SILS): A Novel Technique
Authors
Alan A. Saber
Mohamed H. Elgamal
Ed A. Itawi
Arun J. Rao
Publication date
01-10-2008
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 10/2008
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-008-9646-0

Other articles of this Issue 10/2008

Obesity Surgery 10/2008 Go to the issue