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Macau Periodical Index (澳門期刊論文索引)
- Author
- Dong, Zhiyong；Stier, Christine；Cheang, Chonin；Chong, Tsz Hong；Zheng, Dexi；Chen, Wenhui；Parmar, Chetan；Chan, Wengtong；Wang, Cunchuan
- Title
- The safety and efficacy of three-port-technique of laparoscopic sleeve gastrectomy in the treatment of obesity
- Journal Name
- 澳門科技大學學報
- Pub. Info
- 2024年9月, 第18卷第3期, 第1-18頁
- Link
- https://www.mustjournal.com/CN/10.58664/mustjournal.2024.09.001
- Keyword
- Metabolic and bariatric surgery；Laparoscopic sleeve gastrectomy；Procedure；Obesity
- Abstract
- Laparoscopic sleeve gastrectomy (LSG) is widely accepted bariatric procedure due to its simplicity and effectiveness. Despite its advantages, the traditional approach to LSG can be associated with various complications. This study introduces an innovative three-port technique for LSG, aiming to reduce operative complications, shorten hospital stays, and potentially lower the overall costs while maintaining or improving weight loss outcomes. We meticulously detailed our innovative three-port technique of LSG and evaluated its safety and efficacy through a retrospective analysis of 116 consecutive patients. Key metrics such as operation time, complication rates, and weight loss were assessed. authors declared no conflict of interest. The innovative three-port LSG procedure demonstrated a mean operation time of 90.13 ± 5.68 minutes. Patients exhibited significant weight loss post-operation, with mean reductions of 11.57 ± 5.09 kg after one months, 19.75 ± 6.57 kg after three months, 26.85 ± 7.60 kg after sixth months, and 28.86 ± 11.23* Submission Date: 19 September 2023; Acceptance Date: 30 August 2024. Zhiyong Dong, Christine Stier, Chonin Cheang, Tsz Hong, Cunchuan Wang. el.2kg after one year. The safety profile was favorable, with no serious complications as classified by the Clavien-Dindo classification at 1, 3, 6, and 12 months follow-up. The three-port technique for LSG is safe and effective method that offers significant advantages over traditional LSG approaches, including potentially lower complication rates and improved patient outcomes. This technique represents a significant innovation in bariatric surgery, warranting further adoption and study. Paragraph Headings: 1. Background 2. Procedure 2.1. Patient positioning 2.2. Location of the trocar ports 2.3. Identifying the pylorus and dissecting the greater omentum 2.4. Dissection of the gastric fundus of the stomach and exposing the left crus of the diaphragm 2.5. Dissecting the posterior gastric wall 2.6. Resection of the excess volume along the greater curve while forming a sleeved stomach 2.7. Over-sewing of staple line and fixation of the greater omentum to the staple line 2.8. Removing the resected specimen and suturing the trocar port 3. Results 3.1. Complication rate 3.2. Conversion rate to a more-than-three-port technique 3.3. Bariatric outcome 4. Discussion