SINGLE PORT LAPAROSCOPIC SLEEVE GASTRECTOMY

Abstract

Among the surgical treatments options for obesity, sleeve gastrectomy has gained popularity, being actually reported nearly 100 procedures.
Objective: Evaluate the single port sleeve gastrectomy technical feasibility presenting two representative cases. Methods: Two cases presentation, performed at Bariatric and Metabolic Surgery Unit of the Hospital Domingo Luciani, IVSS, Caracas. Patients and methods: Two clinical cases presentation Results: Two patients with indications for bariatric surgery according international standars, were operated through single port access. All the basic principles of the procedure were respected, releasing the mayor curvature 4 cm from to the pylorus
to diaphragmatic left crus for an adequate exposure. All the adhesions between the posterior stomach wall and the pancreas were cut. A 36 french bujie was used to calibrate the sleeve, and the staples were reinforced with seamguard. There were not complications (30 days).
Conclusions: Single port sleeve gastrectomy is feasible from a technical point of view, but has exposure difficulties due to the external conflict between the instruments.