scholarly journals Simple, Safe, and Cost-Effective Technique for Resected Stomach Extraction in Laparoscopic Sleeve Gastrectomy

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Serhan Derici ◽  
Koray Atila ◽  
Seymen Bora ◽  
Serkan Yener
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Gastrointestinal Surgery ◽  
Cost Effective ◽  
Special Device ◽  
Resected Stomach ◽  
Specimen Extraction ◽  
Trocar Site ◽  
Incisional Surgical Site Infection ◽  
Surgery Department

Background. Laparoscopic sleeve gastrectomy (LSG) has become a popular operation during the recent years. This procedure requires resection of 80–90% of the stomach. Extraction of gastric specimen is known to be a challenging and costly stage of the operation. In this paper, we report results of a simple and cost-effective specimen extraction technique which was applied to 137 consecutive LSG patients.Methods. Between October 2013 and October 2015, 137 laparoscopic sleeve gastrectomy surgeries were performed at Dokuz Eylul University General Surgery Department, Upper Gastrointestinal Surgery Unit. All specimens were extracted through a 15 mm trocar site without using any special device.Results. We noticed one superficial incisional surgical site infection and treated this patient with oral antibiotics. No cases of trocar site hernia were observed.Conclusion. Different techniques have been described for specimen extraction. This simple technique allows extraction of specimen safely in a short time and does not require any special device.

Is Resected Stomach Volume Related to Weight Loss After Laparoscopic Sleeve Gastrectomy?

2014 ◽  
Vol 24 (10) ◽  
pp. 1656-1661 ◽  
Author(s):  
Jagat Pal Singh ◽  
Om Tantia ◽  
Tamonas Chaudhuri ◽  
Shashi Khanna ◽  
Prateek H. Patil
Keyword(s):  
Weight Loss ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Resected Stomach ◽  
Stomach Volume

Single-incision Laparoscopic Sleeve Gastrectomy

2013 ◽  
Vol 79 (4) ◽  
pp. 393-397 ◽  
Author(s):  
Reinhard Mittermair ◽  
Johann Pratschke ◽  
Robert Sucher
Keyword(s):  
Weight Loss ◽  
Sleeve Gastrectomy ◽  
Minimally Invasive ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Single Incision ◽  
Data Bank ◽  
Single Incision Laparoscopic Surgery ◽  
Trocar Site ◽  
Preoperative Body Mass Index ◽  
Number Of Patients

Laparoscopic sleeve gastrectomy has gained popularity and acceptance among bariatric surgeons, mainly as a result of its low morbidity and mortality. Single-incision laparoscopic surgery (SILS), the most recent development in minimally invasive surgery, allows operations to be carried out through only a single incision using special ports. To further minimize the trauma of access incisions, we applied the SIL sleeve gastrectomy on a selected number of patients enrolled into our minimally invasive bariatric program. Between June 2010 and May 2012, 40 consecutive female patients underwent SIL sleeve gastrectomy. All data (demographic, morphologic, operative, and follow-up data) were prospectively collected in a computerized data bank. All patients were female. Mean age was 37 years (range, 19 to 62 years), preoperative body mass index was 40.8 kg/m2 (range, 35.1 to 45.0 kg/m2), and excess weight loss was 57.2 per cent at 6.6 months after surgery. Total operative time was 85 ± 21 minutes and mean hospital stay was 5 days (range, 4 to 24 days). Of the patients, two (5%) sustained postoperative complications such as leakage from the suture line and hemorrhage one in each case. There was no trocar site hernia. SIL sleeve gastrectomy seems to be an effective surgical option for the treatment of morbid obesity. During the first 6 months after the operation, weight loss was excellent. These results are at present comparable to those of multiport sleeve gastrectomy. SIL sleeve gastrectomy is safe and feasible and can be performed without changing the existing principles of this procedure.

scholarly journals AB022. PP-1 Rate of trocar site hernia after laparoscopic sleeve gastrectomy

2020 ◽  
Vol 5 ◽  
pp. AB022-AB022
Author(s):  
Anil Ergin ◽  
Berk Topaloğlu ◽  
Hüseyin Çiyiltepe ◽  
Mehmet Mahir Fersahoğlu ◽  
Nuriye Esen Bulut ◽  
...  
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Trocar Site ◽  
Trocar Site Hernia

Minimizing the Access Trauma of Laparoscopic Sleeve Gastrectomy: the Transoral Specimen Extraction Technique

2015 ◽  
Vol 26 (1) ◽  
pp. 229-233 ◽  
Author(s):  
Marco Maria Lirici ◽  
Valentina Romeo ◽  
Luigi Simonelli ◽  
Simone Tierno ◽  
Carlo Eugenio Vitelli
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Extraction Technique ◽  
Specimen Extraction

scholarly journals Relationship between the resected stomach volume and early postoperative weight loss following laparoscopic sleeve gastrectomy

2018 ◽  
Vol 5 (4) ◽  
pp. 1180
Author(s):  
Mohammed Abd Allah Salman ◽  
Mostafa Elshazly ◽  
Amr Ali Ragab ◽  
Tarek Osama Hegazy
Keyword(s):  
Weight Loss ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Weight Reduction ◽  
Gastric Volume ◽  
Secondary Outcome ◽  
Mean Deviation ◽  
Morbidly Obese ◽  
Resected Stomach ◽  
Stomach Volume

Background: The aim of the study was evaluation of the effect of the resected gastric volume (RGV) on weight loss after laparoscopic sleeve gastrectomy (LSG).Methods: This prospective study included 40 morbidly obese patients undergoing LSG. Multi Detector Computed Tomography (MDCT) was used to measure preoperative stomach volume and sleeve volume. The actual RGV was measured after surgery. The primary outcome measure was the relation between RGV and percentage of excess body weight loss (%EBWL) after 3 and 6 months. The secondary outcome was early postoperative complications.Results: The mean preoperative BMI was 43.5±4.3 kg/m2. The actual RGV was substantially correlated with that estimated by CT (r=0.996, p<0.001). The former was significantly larger with a mean deviation of 17.6 cc (95%CI: 12.2-23.0 kg). The actual and CT-estimated RGV were positively correlated with% EBWL after 3 months (r=0.361, p=0.022 and r=0.471, p<0.001, respectively) and after 6 months (r=0.466, p=0.002 and r=0.553, p<0.001, respectively). Percentage of volume reduction was positively correlated with weight reduction after 3 and 6 months (r=0.0.525, p=0.001 and r=0.564, p<0.001, respectively).Conclusions: The resected gastric volume during LSG was significantly correlated with weight reduction after 3 and 6 months of surgery. Sleeve volume was not correlated with early weight reduction. MDCT is a reliable method to measure gastric volume before and after surgery.

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