Affiliation:
1. Nanjing Medical University
2. Jiangnan University
3. Wuxi Clinical College Affiliated to Nantong University
Abstract
Abstract
Objective
To investigate the safety and effectiveness of ultra-minimally invasive surgical instruments in laparoscopic sleeve gastrectomy (LSG).
Methods
A total of 134 patients, including 67 patients who underwent 4-hole LSG, 29 patients who underwent 3-hole LSG, and 38 patients who underwent ultra-minimally invasive laparoscopic sleeve gastrectomy (ULSG), from July 2018 to December 2022 were included in this study. The operation times, bleeding volumes, and pain scores among the three groups (4-hole LSG group, 3-hole LSG group, ULSG group) were compared.
Results
The bleeding volumes in the 4-hole LSG group, 3-hole LSG group, and ULSG group were 6.6 ± 5.1 ml, 10.0 ± 4.9 ml, and 5.6 ± 3.3 ml, respectively. The operation times in the 4-hole LSG group, 3-hole LSG group, and ULSG group were 103.8 ± 21.3 min, 122.9 ml ± 24.0 min, and 110.7 ± 30.0 min, respectively. The pain scores in the 4-hole LSG group, 3-hole LSG group, and ULSG group were 5.0 ± 2.0, 4.0 ± 1.5, and 3.9 ± 1.6, respectively. However, one case each of gastric leakage (1.49%), gastric stenosis (3.45%), and severe vomiting (2.63%) were reported in the 4-hole LSG, 3-hole LSG group, and ULSG group, respectively (P = 0.909).
Conclusion
Ultra-minimally invasive instrument-assisted LSG (ULSG) is a safe and convenient operation that enhances skin beauty. Besides, the method of picking, blocking, and pulling can better expose the visual field and cut the gastric tissue.
Publisher
Research Square Platform LLC