Single-Incision Laparoscopic Sleeve Gastrectomy

Abstract Introduction: Laparoscopic sleeve gastrectomy has gained increased acceptance for the treatment of obesity and its related metabolic complications.1,2 Recently, single-incision laparoscopic surgery has evolved as one future trend of minimally invasive surgery providing the patient with almost invisible scars resulting in better cosmesis.3 In this report, we describe how this minimally invasive single-incision laparoscopic surgical technique can be applied to sleeve gastrectomy without the use of any additional liver retraction device. Materials and Methods: Our technique was exclusively performed on female patients, with a BMI of 35 kg/m2 to 45 kg/m2. Under general anesthesia, a 50-mm OCTO-Port® (AFS Medical) was inserted via a 4-cm vertical transumbilical incision, a pneumoperitoneum was established using continuous carbon dioxide insufflation. Using a 5-mm flexible grasper (Karl Storz) and a 5-mm Ligasure® (valleylab; Covidien), sleeve gastrectomy was started by dissection of the gastrocolic an...