Evaluation of Laparoscopic Single Port Sleeve Gastrectomy in the Treatment of Morbid Obese Pateints

Abstract

Morbid obesity is a growing epidemic which is spreading worldwide. This problem has serious associated disorders and morbidities which raised the importance of its management. There are different approaches in the control of obesity including lifestyle change, psychological and behavioral therapy. However, the surgical option has always proved to be the best and most effective in the management of obesity and its comorbidities especially on the long term scale. Among the various surgical modalities for obesity, the sleeve gastrectomy is considered a widely accepted procedure and its popularity is increasing in the bariatric surgery field. Its short and long term outcomes have shown to be well tolerated with satisfactory body weight control. The numerous advantages of laparoscopic procedures compared to the open counterparts have inspired an interest in even more minimally invasive surgical approaches. This interest facilitated the birth of needlescopic instruments, natural orifice transluminal endoscopic surgery , and single-access laparoscopy. Single-access laparoscopy involves the introduction of special multichannel access devices that allow laparoscopic surgery to be performed through one incision, preferably the umbilicus. The potential advantages of this approach are related to limiting the port incisions to one site, in addition to the advantages of traditional minimally invasive surgery. In the present study we conducted an evaluation of laparoscopic single port sleeve gastrectomy for morbid obese patients regarding its feasibility, safety, technical challenges, advantages and assessment of its effects on weight loss and complications. As regards the technique, it was challenging to perform the whole