IBC-Oxford University2023_BJSOral_8Feasibility and Safety of Laparoscopic 3-port Sleeve Gastrectomy in Obese Individuals

Abstract

Abstract Background With the development of technology and experience, reduced port surgery is becoming more and more popular, and it is also gradually increasing in bariatric-metabolic surgery. Objectives The aim of this study was to evaluate the feasibility and safety of laparoscopic 3-port sleeve gastrectomy in populations with obesity. Methods We conducted a retrospective review of the electronic medical records of all patients who underwent laparoscopic 3-port sleeve gastrectomy (LSG-3) and conventional 4-port sleeve gastrectomy (LSG-4) between May 2021 and May 2023 at a single institution. Perioperative parameters, percent of total weight loss (%TWL) and gastric volume on CT scan at 1 year follow-up were assessed. Results One hundred twenty-one patients were enrolled in this study. Body weight was significantly higher in LSG-4 (128.6±32.5 vs. 107.1±19.2kg, p<0.001). Operative time was significantly shorter in LSG-3 (107.5±18.5 vs. 127.6±27.7, p<0.001). There were no differences between two groups in postoperative stays, intra- and postoperative complications, readmission, and reoperation rate. 7 cases (9%) in LSG-3 were converted to LSG-4. At 1 year follow-up, %TWL in LSG-3 was 30.7±7.4% like LSG-4 (30.0±6.4) and % of gastric volume measured at about 20% in both groups. Conclusion LSG-3 is feasible and safe in Asian populations with obesity.