Single Incision Laparoscopic Sleeve Gastrectomy: a Review

Abstract

We aim to summarize the existing evidence on the use of single incision sleeve gastrectomy (SILSG) for morbid obesity. A thorough literature search for studies reporting outcomes of SILSG was performed. Data on patient demographics, operative details, and surgical outcomes were analyzed. Sixteen studies incorporating 945 patients (90.6 % women) with a mean age of 37 years were included in the analysis. A commercially available single-port device was used in 89.7 % of the cases. The mean operative time was 64.7 min, with two cases (0.2 %) of intraoperative and 27 cases (2.8 %) of postoperative complications. There were no perioperative deaths reported, while the mean postoperative hospital stay was 2.5 days. SILSG is a feasible and safe approach, with low complication and mortality rates in carefully selected patients.

Safety and effectiveness of reduced-port laparoscopic sleeve gastrectomy in Asian morbidly obese patients

“…The patient recovered without further complications and was discharged on the scheduled date. The reasons for conversion from SPSG to CLSG in previous studies were technical difficulties, including insufficient endostapler length, poor visualization, and intraoperative bleeding 8 . Although SPSG is a safe choice for selected patients, multi-port conversion should always be considered when needed.…”

“…Single-port sleeve gastrectomy (SPSG) and reduced port sleeve gastrectomy (RPSG) that utilizes one additional port have been increasingly reported in the literature 8 , 9 . However, there is still an ongoing debate on whether the technical difficulties of the single-port approach might lead to an increased risk of postoperative morbidity and suboptimal sleeve construction 7 .…”