Transumbilical single-access laparoscopic sleeve gastrectomy plus 1.8-mm trocarless grasping forceps

Abstract

Laparoscopic sleeve gastrectomy is gaining popularity throughout the world. Generally, it is performed using 5–7 abdominal trocars but can also be performed through a single-access laparoscopy (SAL) at the umbilicus. This incision is in line with the axis of the stomach, providing access to the stomach without many difficulties. Moreover, the access site can be enlarged to remove the resected stomach from the abdomen with relatively better cosmesis, since the scar is the original umbilical scar.