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Published in: Obesity Surgery 7/2018

01-07-2018 | Brief Communication

Retrospective Comparison of Single-Port Sleeve Gastrectomy Versus Three-Port Laparoscopic Sleeve Gastrectomy: a Propensity Score Adjustment Analysis

Authors: Claudio Mauriello, Elie Chouillard, Antonio d’alessandro, Gianpaolo Marte, Argyri Papadimitriou, Elias chahine, Radwan Kassir

Published in: Obesity Surgery | Issue 7/2018

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Abstract

Purpose

Evaluate the efficacy of single-port sleeve gastrectomy (SPSG) and then compare it to a less-invasive sleeve approach (three-port) (3PSG) according to a propensity score (PS) matching analysis.

Materials and Methods

We analyzed all patients who underwent SG through a three-port or a single-port laparoscopic approach.

Results

After 2 years, the follow-up was completed in 84% patients treated with 3PSG and 95% patients of the SPSG group. Excess weight loss (EWL) was comparable for the first year of follow-up within the two groups except for the controls at 3 months in which the SPSG group showed a higher EWL (p = 0.0243).

Conclusion

We demonstrated the efficacy of SPSG in bariatric surgery even compared to another, less invasive, laparoscopic SG approach (three-port).
Literature
1.
go back to reference Cottam D, Qureshi FD, Mattar SG, et al. Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc. 2006;20:859–63.CrossRef Cottam D, Qureshi FD, Mattar SG, et al. Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc. 2006;20:859–63.CrossRef
2.
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. 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.
3.
go back to reference Sammour T, Hill AG, Singh P, et al. Laparoscopic sleeve gastrectomy as a single-stage bariatric procedure. Obes Surg. 2010;20:271–5. Sammour T, Hill AG, Singh P, et al. Laparoscopic sleeve gastrectomy as a single-stage bariatric procedure. Obes Surg. 2010;20:271–5.
4.
go back to reference Lakdawala MA, Bhasker A, Mulchandani D, et al. Comparison between the results of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass in the Indian population: a retrospective 1 year study. Obes Surg. 2010;20:1–6. Lakdawala MA, Bhasker A, Mulchandani D, et al. Comparison between the results of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass in the Indian population: a retrospective 1 year study. Obes Surg. 2010;20:1–6.
5.
go back to reference Vidal P, Ramón JM, Goday A, et al. Laparoscopic gastric bypass versus laparoscopic sleeve gastrectomy as a definitive surgical procedure for morbid obesity. Mid-term results. Obes Surg. 2013;23:292–9. Vidal P, Ramón JM, Goday A, et al. Laparoscopic gastric bypass versus laparoscopic sleeve gastrectomy as a definitive surgical procedure for morbid obesity. Mid-term results. Obes Surg. 2013;23:292–9.
6.
go back to reference Lakdawala M, Agarwal A, Dhar S, et al. Single-incision sleeve gastrectomy versus laparoscopic sleeve gastrectomy. A 2-year comparative analysis of 600 patients. Obes Surg. 2015;25(4):607–14. Lakdawala M, Agarwal A, Dhar S, et al. Single-incision sleeve gastrectomy versus laparoscopic sleeve gastrectomy. A 2-year comparative analysis of 600 patients. Obes Surg. 2015;25(4):607–14.
7.
go back to reference Rogula T, Daigle C, Dua M, et al. Laparoscopic bariatric surgery can be performed through a single incision: a comparative study. Obes Surg. 2014;24(7):1102–8. Rogula T, Daigle C, Dua M, et al. Laparoscopic bariatric surgery can be performed through a single incision: a comparative study. Obes Surg. 2014;24(7):1102–8.
8.
go back to reference Reavis KM, Hinojosa MV, Smith BR, et al. Single-laparoscopic incision transabdominal surgery sleeve gastrectomy. Obes Surg. 2008;18:1492–4. Reavis KM, Hinojosa MV, Smith BR, et al. Single-laparoscopic incision transabdominal surgery sleeve gastrectomy. Obes Surg. 2008;18:1492–4.
9.
go back to reference Sato T, Matsuyama Y. Marginal structural models as a tool for standardization. Epidemiology. 2003;14:680–6.CrossRef Sato T, Matsuyama Y. Marginal structural models as a tool for standardization. Epidemiology. 2003;14:680–6.CrossRef
10.
go back to reference HAS. Obesite: prise en charge chirurgicale chez l'adulte. Saint Denis (France): HAS edition, 2009:1–263. HAS. Obesite: prise en charge chirurgicale chez l'adulte. Saint Denis (France): HAS edition, 2009:1–263.
11.
go back to reference Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240:205–13.CrossRef Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240:205–13.CrossRef
12.
go back to reference Rosenbaum PR, Rubin DB. The central role of the propensity score in observational studies for causal effects. Biometrika. 1983;70(1):41–55.CrossRef Rosenbaum PR, Rubin DB. The central role of the propensity score in observational studies for causal effects. Biometrika. 1983;70(1):41–55.CrossRef
13.
go back to reference Austin PC. Optimal caliper widths for propensity-score matching when estimating differences in means and differences in proportions in observational studies. Pharmaceutical Statistics. 2011;10(2). Wiley Online Library):150–61.CrossRef Austin PC. Optimal caliper widths for propensity-score matching when estimating differences in means and differences in proportions in observational studies. Pharmaceutical Statistics. 2011;10(2). Wiley Online Library):150–61.CrossRef
14.
go back to reference Saber AA, Elgamal MH, Itawi EA, et al. Single incision laparoscopic sleeve gastrectomy (SILS): a novel technique. Obes Surg. 2008;18(10):1338–42. Saber AA, Elgamal MH, Itawi EA, et al. Single incision laparoscopic sleeve gastrectomy (SILS): a novel technique. Obes Surg. 2008;18(10):1338–42.
16.
go back to reference Sucher R, Resch T, Mohr E, et al. Single-incision laparoscopic sleeve gastrectomy versus multiport laparoscopic sleeve gastrectomy: analysis of 80 cases in a single center. J Laparoendosc Adv Surg Tech A. 2014;24(2):83–8. https://doi.org/10.1089/lap.2013.0250. Epub 2014 Jan 16 Sucher R, Resch T, Mohr E, et al. Single-incision laparoscopic sleeve gastrectomy versus multiport laparoscopic sleeve gastrectomy: analysis of 80 cases in a single center. J Laparoendosc Adv Surg Tech A. 2014;24(2):83–8. https://​doi.​org/​10.​1089/​lap.​2013.​0250. Epub 2014 Jan 16
17.
go back to reference Saber AA, El-Ghazaly TH, Elian A. Single-incision transumbilical laparoscopic sleeve gastrectomy. J Laparoendosc Adv Surg Tech A. 2009;19(6):755–8. discussion 9CrossRef Saber AA, El-Ghazaly TH, Elian A. Single-incision transumbilical laparoscopic sleeve gastrectomy. J Laparoendosc Adv Surg Tech A. 2009;19(6):755–8. discussion 9CrossRef
18.
go back to reference Alevizos L, Lirici MM. Laparo-endoscopic single-site sleeve gastrectomy: results from a preliminary series of selected patients. Minim Invasive Ther Allied Technol. 2012;21(1):40–5.CrossRef Alevizos L, Lirici MM. Laparo-endoscopic single-site sleeve gastrectomy: results from a preliminary series of selected patients. Minim Invasive Ther Allied Technol. 2012;21(1):40–5.CrossRef
19.
go back to reference Fernandez JI, Farias CO, Ovalle CL, et al. Transumbilical single-incision laparoscopic sleeve gastrectomy. Obes Surg. 2015;25(3):430–5. Fernandez JI, Farias CO, Ovalle CL, et al. Transumbilical single-incision laparoscopic sleeve gastrectomy. Obes Surg. 2015;25(3):430–5.
20.
go back to reference Gentileschi P, Camperchioli I, Benavoli D, et al. Laparoscopic single-port sleeve gastrectomy for morbid obesity: preliminary series. Surg Obes Relat Dis. 2010;6(6):665–9. Gentileschi P, Camperchioli I, Benavoli D, et al. Laparoscopic single-port sleeve gastrectomy for morbid obesity: preliminary series. Surg Obes Relat Dis. 2010;6(6):665–9.
21.
go back to reference Huang CK, Tsai JC, Lo CH, et al. Preliminary surgical results of single-incision transumbilical laparoscopic bariatric surgery. Obes Surg. 2011;21(3):391–6. Huang CK, Tsai JC, Lo CH, et al. Preliminary surgical results of single-incision transumbilical laparoscopic bariatric surgery. Obes Surg. 2011;21(3):391–6.
22.
go back to reference Maluenda F, Leon J, Csendes A, et al. Single-incision laparoscopic sleeve gastrectomy: initial experience in 20 patients and 2-year follow-up. Eur Surg. 2014;46:32–7. Maluenda F, Leon J, Csendes A, et al. Single-incision laparoscopic sleeve gastrectomy: initial experience in 20 patients and 2-year follow-up. Eur Surg. 2014;46:32–7.
23.
go back to reference Mittermair R, Pratschke J, Sucher R. Single-incision laparoscopic sleeve gastrectomy. Am Surg. 2013;79(4):393–7.PubMed Mittermair R, Pratschke J, Sucher R. Single-incision laparoscopic sleeve gastrectomy. Am Surg. 2013;79(4):393–7.PubMed
24.
go back to reference Pourcher G, Di Giuro G, Lafosse T, et al. Routine single-port sleeve gastrectomy: a study of 60 consecutive patients. Surg Obes Relat Dis. 2013;9(3):385–9. Pourcher G, Di Giuro G, Lafosse T, et al. Routine single-port sleeve gastrectomy: a study of 60 consecutive patients. Surg Obes Relat Dis. 2013;9(3):385–9.
25.
27.
go back to reference Greaves N, Nicholson J. Single incision laparoscopic surgery in general surgery: a review. Ann R Coll Surg Engl. 2011;93:437–40.CrossRef Greaves N, Nicholson J. Single incision laparoscopic surgery in general surgery: a review. Ann R Coll Surg Engl. 2011;93:437–40.CrossRef
28.
go back to reference Saber AA, El-Ghazaly TH, Dewoolkar AV, et al. Single-incision laparoscopic sleeve gastrectomy versus conventional multiport laparoscopic sleeve gastrectomy: technical considerations and strategic modifications. Surg Obes Relat Dis. 2010;6:658–64. Saber AA, El-Ghazaly TH, Dewoolkar AV, et al. Single-incision laparoscopic sleeve gastrectomy versus conventional multiport laparoscopic sleeve gastrectomy: technical considerations and strategic modifications. Surg Obes Relat Dis. 2010;6:658–64.
29.
go back to reference Tranchart H, Ketoff S, Lainas P, et al. Single incision laparoscopic cholecystectomy: for what benefit? HPB (Oxford). 2013;15(6):433–8. Tranchart H, Ketoff S, Lainas P, et al. Single incision laparoscopic cholecystectomy: for what benefit? HPB (Oxford). 2013;15(6):433–8.
30.
go back to reference Pirracchio R, Resche-Rigon M, Chevret S. Evaluation of the propensity score methods for estimating marginal odds ratios in case of small sample size. BMC Med Res Methodol. 2012;12:70.CrossRef Pirracchio R, Resche-Rigon M, Chevret S. Evaluation of the propensity score methods for estimating marginal odds ratios in case of small sample size. BMC Med Res Methodol. 2012;12:70.CrossRef
Metadata
Title
Retrospective Comparison of Single-Port Sleeve Gastrectomy Versus Three-Port Laparoscopic Sleeve Gastrectomy: a Propensity Score Adjustment Analysis
Authors
Claudio Mauriello
Elie Chouillard
Antonio d’alessandro
Gianpaolo Marte
Argyri Papadimitriou
Elias chahine
Radwan Kassir
Publication date
01-07-2018
Publisher
Springer US
Published in
Obesity Surgery / Issue 7/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-018-3244-6

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