Efficacy of three-port laparoscopic sleeve gastrectomy in treatment of obesity
10.16139/j.1007-9610.2023.05.12
- VernacularTitle:三孔法腹腔镜胃袖状切除术治疗肥胖症的疗效分析
- Author:
Chongwen ZHAN
1
;
Qiwei SHEN
;
Yikai SHAO
;
Bo XU
;
Rong HUA
;
Qiyuan YAO
Author Information
1. 复旦大学附属华山医院普外科,上海 200040
- Keywords:
Obesity;
Bariatric surgery;
Sleeve gastrectomy;
Laparoscopy;
Three-port method
- From:
Journal of Surgery Concepts & Practice
2023;28(5):463-468
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility,safety and efficacy of three-port laparoscopic sleeve gastrectomy(LSG).Methods Clinical data of 130 patients with obesity who underwent LSG from April 2020 to January 2021 and completed follow-up in time were analyzed retrospectively.All patients were divided into two groups as surgical method,there were 52 cases in three-port group and 78 cases in four-port group.Perioperative indicators and improvement of obesity in two groups were compared.Results All procedures were performed via LSG.Compared with four-port group,the mean operative time of three-port group was shorter[(88.35±22.64)min vs.(98.29±26.25)min,P=0.027].There were no significant differences in amount of bleeding intraoperative,postoperative pain,postoperative drainage,hospital stay after operation,postoperative complication rate and weight loss 6 months and 2 years after surgery(P>0.05).Conclusions Under the premise of no increase in surgical complications and operative time,three-port LSG can reduce the number and size of surgical scars,which is conducive to skin beauty,and obtain the same weight loss effect as four-port LSG,and can be used as a routine operation for sleeve gastrectomy.
