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Single-Incision Laparoscopic Gastric Bypass for Morbid Obesity

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Abstract

Background

Single-incision laparoscopic surgery (SILS) has been developed with the aim of reducing the invasiveness of traditional laparoscopy.

Methods

The technique of single-incision laparoscopic gastric bypass performed through a single intra-umbilical incision was adopted in 16 obese patients and minutely described. Fourteen patients underwent single-loop gastric bypass and two patients underwent "double loop" (Roux-en-Y) gastric bypass.

Results

Operating time was less than 2 h in all cases. All procedures were completed with the single-access technique. There were no major per-operative complications. Patients were early-discharged after an upper GI examination and restoration of a liquid diet.

Conclusions

Emerging technology has contributed to the diffusion of SILS; single-incision laparoscopy is validated and established in cholecystectomy and is gaining acceptance in other techniques also. High technical skill is required for manipulating, measuring, and suturing the bowel with articulated instruments. However, randomized, controlled trials are required to determine the real advantages of this technique in comparison with standard laparoscopy.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Catholic University of Sacred Heart, Via G. Nisio 57, 00135, Rome, Italy

    Francesco Greco

  2. Catholic University of Sacred Heart, Largo A. Gemelli 8, 00168, Rome, Italy

    Roberto M. Tacchino, Daniele Matera & Giada Diflumeri

Authors
  1. Roberto M. Tacchino
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  2. Francesco Greco
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  3. Daniele Matera
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  4. Giada Diflumeri
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Corresponding author

Correspondence to Francesco Greco.

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Tacchino, R.M., Greco, F., Matera, D. et al. Single-Incision Laparoscopic Gastric Bypass for Morbid Obesity. OBES SURG 20, 1154–1160 (2010). https://doi.org/10.1007/s11695-010-0153-8

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  • DOI: https://doi.org/10.1007/s11695-010-0153-8

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