Single-port sleeve gastrectomy for super-obese patients

Background: Laparoscopic sleeve gastrectomy, which has become a primary bariatric procedure in super-obese patients (SOPs), is associated with considerable weight loss. Traditionally, laparoscopic sleeve gastrectomy requires 4-7 skin incisions. Single-port laparoscopic surgery is now feasible for bariatric surgery. Objectives: To evaluate the feasibility and safety of single-port sleeve gastrectomy (SPSG) for SOPs. Setting: Department of Abdominal and Minimally Invasive Surgery, Antoine Beclere Hospital, Assistance Publique-Hopitaux de Paris, Paris-Sud University, France. Methods: Evaluation of the outcomes on patients who underwent surgery consecutively from June 2010 to June 2013 with follow-up of > 1 year. Results: In total, 62 patients (46 women, 16 men) underwent SPSG. The median age was 41 years (range 19-67), median preoperative body mass index was 52.2 kg/m(2) (range 50-87), median operative time was 89 minutes (range 42-212). Twelve patients required additional trocars, and 4.8 % developed complications. The median postoperative stay was 4 days (range 3-9 days) and median follow-up period was 21 months (range 12-48 months) with no loss of follow-up. The median percentage of excess weight loss was 69.7% (range 52%-100%) and percentage of weight loss was 36% (28%-56%) for the same period. Conclusion: SPSG for SOPs was found to be technically feasible, reproducible, and safe in this series. (C) 2016 Published by Elsevier Inc. on behalf of American Society for Metabolic and Bariatric Surgery.