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Routine gastric suspension technique in single-port sleeve gastrectomy procedure

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Abstract

Background

Due to limited technical demand, single-port sleeve gastrectomy (SPSG) is a feasible laparoscopic technique for sleeve gastrectomy (SG). Nonetheless, difficulties exist when performing the single-port technique, and in this study, we aim to describe a slight maneuver that can improve the SPSG procedure.

Methods

Patients who underwent laparoscopic SG between January 2022 and May 2023 at our hospital were included. The patients were classified into two groups: (1) SPSG and (2) multiple-port SG (MPSG). The parameters for this analysis were the patients’ age, gender, weight, body mass index (BMI), conversion rate, drainage placement, 30-day readmission rate, and postoperative complications. Postoperative one-month and three-month percentages of total weight loss (%TWL) were calculated and compared.

Results

171 patients were included in this study: (1) the SPSG group (n = 96) and (2) the MPSG group (n = 75). No statistically significant difference was observed within the preoperative (age, gender, height, weight, and BMI) and the perioperative parameters between SPSG and MPSG (operation time, drainage placement, 30-day readmission) (p > 0.05). Per Clavien–Dindo’s grading, two patients in the SPSG group suffered grade 1 complications; for the MPSG group, one patient sustained grade 2 and another suffered grade 3b complication. No statistical significance was observed on the %TWL between the two groups (p > 0.05).

Conclusion

Our study found that performing SPSG in specific patient is feasible and non-inferior when compared to the MPSG. Further studies will be needed to elucidate better the efficacy and safety of performing SPSG.

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Funding

Medical Innovation Research Special Project of Shanghai 2022 Annual Science and Technology Innovation Action Plan (22Y11904500).

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Author notes

  1. Jianjun Yang and Jason Widjaja have contributed equally for this study.

Authors and Affiliations

  1. Department of General Surgery, Fudan University Affiliated Huadong Hospital, Shanghai, 200040, People’s Republic of China

    Jianjun Yang, Jason Widjaja, Rui Wang, Wenpei Dong, Dongchao Yang, Heng Song, Zhicheng Song & Yan Gu

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  1. Jianjun Yang
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  2. Jason Widjaja
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  4. Wenpei Dong
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  7. Zhicheng Song
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  8. Yan Gu
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Correspondence to Yan Gu.

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Disclosures

Jianjun Yang, Jason Widjaja, Rui Wang, Wenpei Dong, Dongchao Yang, Heng Song, Zhicheng Song, and Yan Gu have no conflicts of interest or financial ties to disclose.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this retrospective study, additional formal consent is not required.

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Yang, J., Widjaja, J., Wang, R. et al. Routine gastric suspension technique in single-port sleeve gastrectomy procedure. Surg Endosc 37, 9651–9657 (2023). https://doi.org/10.1007/s00464-023-10502-2

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