Comparison of Single-Incision and Conventional Laparoscopic Sleeve Gastrectomy for Morbid Obesity: a Meta-Analysis

Sun, Si-Da; Wu, Ping-Ping; Jun, Zhou; Wang, Zhisheng; Cai, Tian-Hong; Huang, Long-Kai; Chen, Jiansheng; Lin, Changqing; Wang, Jiaxing; He, Qingliang

doi:10.1007/s11695-020-04437-z

Cited by 6 publications

(2 citation statements)

References 39 publications

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“…Indeed, there are some disputes regarding the efficiency and safety of SLSG and CLSG. Although two meta-analyses have focused on the comparison between the two methods, these data do not seem to resolve the disputes 81 , 82 . For the intraoperative indices, unlike the previous studies 81 , 82 , our data showed that the operative time in the CLSG was significantly shorter than that in the SLSG ( P <0.05).…”

Section: Discussionmentioning

confidence: 99%

Trocar number and placement for laparoscopic sleeve gastrectomy and comparison of single-incision and conventional laparoscopic sleeve gastrectomy: a systematic review and meta-analysis

Jiang

Zhang

Feng

et al. 2023

International Journal of Surgery

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Background: Conventional laparoscopic sleeve gastrectomy (CLSG) has been conducted in multiple centers for treating morbid obesity, however, there are no standard criteria for (1) placing the trocar; and (2) how many trocars should be used. Single-incision laparoscopic sleeve gastrectomy (SLSG), a newly emerged technique in 2008, has been proposed as an alternative to CLSG in recent years, however, there is no definite evidence for this. Materials and methods: A systematic literature search was performed using the PubMed, Embase, Web of Science, and Cochrane Library databases for laparoscopic sleeve gastrectomy cases from January 2006 to October 2022. We then summarized the trocar numbers and placement patterns among these studies. A meta-analysis was conducted to compare the difference between SLSG and CLSG in the perioperative and postoperative indices. Results: A total of 61 studies involving 20 180 patients who underwent laparoscopic sleeve gastrectomy for treating morbid obesity were included in the systematic review, including 11 on SLSG, 35 on CLSG, and 15 studies comparing SLSG and CLSG. A systematic review showed that the trocar number varied in different CLSG studies, mainly using four or five trocars. The trocars were mainly placed in position, presenting an inverted trapezoid pattern and a left-predominant pattern. Meta-analysis showed that the operative time in the SLSG was significantly higher than that in the CLSG, and the pain Visual Analog Scale rating on postoperative day 1 in the CLSG was significantly higher than in the SLSG. There were no statistical significances in the other complications or surgical efficiency. Conclusions: In the CLSG, the majority of the trocars were arranged in an inverted trapezoid pattern and were of the left-predominant type. Although SLSG is a feasible technique in selected patients, there is insufficient evidence to recommend its widespread use compared with CLSG. High-quality randomized controlled trials with large study populations and long follow-up periods will be required in the future.

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Section: Discussionmentioning

confidence: 99%

Trocar number and placement for laparoscopic sleeve gastrectomy and comparison of single-incision and conventional laparoscopic sleeve gastrectomy: a systematic review and meta-analysis

Jiang

Zhang

Feng

et al. 2023

International Journal of Surgery

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“…Ideal tubular sleeve anatomy is achieved in less than 40% of radiologically studied sleeves resulting in variable outcomes for the patients, including reduced weight loss efficiency and gastroesophageal reflux [ 8 ]. Recent efforts have been made towards standardization of the procedure in order to improve patient outcomes, decrease operative time, and reduce costs [ 9 , 10 ].…”

mentioning

confidence: 99%

Multisite study of Titan SGS stapler in longitudinal gastric resection

et al. 2022

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Background Standardization of the laparoscopic sleeve gastrectomy procedure is needed to improve patient outcomes. A single-fire 23 cm stapler was developed to streamline the operation. Comparative testing conducted on excised human tissue has demonstrated the superiority of the novel Titan SGS stapler to two commonly utilized commercial devices in both staple line integrity and burst pressure. We hypothesized that the stapler would be safe and effective in creating longitudinal gastric resections in human patients. Methods 61 patients were enrolled to undergo gastric resection with the Titan SGS stapler. Perioperative interventions and post-operative adverse events were recorded. Upper GI study was completed on post-operative day 1, and patients were followed for 6 weeks post-operatively to determine any subacute device-related adverse events. Results Surgeon feedback for intraoperative device utilization and post-operative gastric pouch shape were positive. Adverse events were found to be mild, limited, and generally well-known effects of bariatric surgery. One episode of post-operative hemorrhage required surgical takeback, with no criminal bleeding vessel identified. Conclusion The Titan SGS stapler is both safe and effective in sleeve gastrectomy pouch creation.

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Single-Incision Laparoscopic Sleeve Gastrectomy

Dapri¹

2021

Obesity, Bariatric and Metabolic Surgery

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Comparison of Single-Incision and Conventional Laparoscopic Sleeve Gastrectomy for Morbid Obesity: a Meta-Analysis

Cited by 6 publications

References 39 publications

Trocar number and placement for laparoscopic sleeve gastrectomy and comparison of single-incision and conventional laparoscopic sleeve gastrectomy: a systematic review and meta-analysis

Trocar number and placement for laparoscopic sleeve gastrectomy and comparison of single-incision and conventional laparoscopic sleeve gastrectomy: a systematic review and meta-analysis

Multisite study of Titan SGS stapler in longitudinal gastric resection

Single-Incision Laparoscopic Sleeve Gastrectomy

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