Evolution and Standardisation of Techniques in Single-Incision Laparoscopic Bariatric Surgery
Bariatric surgery has proven benefits for morbid obesity and its associated comorbidities. Laparoscopic approach is well established for bariatric surgery. Single-incision laparoscopic surgery (SILS) offers even more minimally invasive approach for the same with the added advantage of better cosmesi...
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| Veröffentlicht in: | Obesity surgery 2018-02, Vol.28 (2), p.574-583 |
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| creator | Praveen Raj, P. Bhattacharya, Siddhartha Parthasarathi, R. Senthilnathan, P. Rajapandian, S. Saravana Kumar, S. Palanivelu, C. |
| description | Bariatric surgery has proven benefits for morbid obesity and its associated comorbidities. Laparoscopic approach is well established for bariatric surgery. Single-incision laparoscopic surgery (SILS) offers even more minimally invasive approach for the same with the added advantage of better cosmesis. We have developed and standardised the SILS approach at our institute. We share our experience and technical “tips” and modifications which we have learnt over the years. Technical details of performing sleeve gastrectomy and Roux-en-Y gastric bypass with special attention to liver retraction, techniques of dissection in difficult areas, creation of anastomoses and suturing have all been described. In our experience and in experience of others, single-incision bariatric surgery is feasible. Use of conventional laparoscopic instruments makes single-incision approach practical for day-to-day practice. Supervised training is essential to learn these techniques. |
| doi_str_mv | 10.1007/s11695-017-3036-4 |
| format | Article |
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Laparoscopic approach is well established for bariatric surgery. Single-incision laparoscopic surgery (SILS) offers even more minimally invasive approach for the same with the added advantage of better cosmesis. We have developed and standardised the SILS approach at our institute. We share our experience and technical “tips” and modifications which we have learnt over the years. Technical details of performing sleeve gastrectomy and Roux-en-Y gastric bypass with special attention to liver retraction, techniques of dissection in difficult areas, creation of anastomoses and suturing have all been described. In our experience and in experience of others, single-incision bariatric surgery is feasible. Use of conventional laparoscopic instruments makes single-incision approach practical for day-to-day practice. 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Laparoscopic approach is well established for bariatric surgery. Single-incision laparoscopic surgery (SILS) offers even more minimally invasive approach for the same with the added advantage of better cosmesis. We have developed and standardised the SILS approach at our institute. We share our experience and technical “tips” and modifications which we have learnt over the years. Technical details of performing sleeve gastrectomy and Roux-en-Y gastric bypass with special attention to liver retraction, techniques of dissection in difficult areas, creation of anastomoses and suturing have all been described. In our experience and in experience of others, single-incision bariatric surgery is feasible. Use of conventional laparoscopic instruments makes single-incision approach practical for day-to-day practice. Supervised training is essential to learn these techniques.</description><subject>Adult</subject><subject>Bariatric Surgery - methods</subject><subject>Bariatric Surgery - standards</subject><subject>Bariatric Surgery - trends</subject><subject>Female</subject><subject>Gastrectomy - adverse effects</subject><subject>Gastrectomy - methods</subject><subject>Gastrectomy - trends</subject><subject>Gastric Bypass - adverse effects</subject><subject>Gastric Bypass - methods</subject><subject>Gastric Bypass - trends</subject><subject>Gastrointestinal surgery</subject><subject>How I Do It</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Laparoscopy - standards</subject><subject>Laparoscopy - trends</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity, Morbid - pathology</subject><subject>Obesity, Morbid - surgery</subject><subject>Reference Standards</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Surgical techniques</subject><subject>Surgical Wound - pathology</subject><subject>Suture Techniques - standards</subject><subject>Sutures - standards</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kF1rHCEUhqU0JJuPH9CbMtCb3tgcP0bHy2ZJk8BCLja5DHLWcVLDrLPVmUD-fZ1uWkKgICr6nNfjQ8gnBt8YgD7PjClTU2CaChCKyg9kwTQ0FCRvPpIFGAW0MVwckeOcnwA4U5wfkiNumJI1mAV5uHwe-mkMQ6wwttV6LDOmNmT8czZ01Z13P2P4NflchVitQ3zsPb2JLuQZWOEO05DdsAuuusAUcExlt57So08vp-Sgwz77s9f1hNz_uLxbXtPV7dXN8vuKOqH5SOuNQslQOgTV6gY0a5RTHcfWbFwZteha1Ghkh4rXtRFSmEaIGmHDjOo6cUK-7nN3aZg7He02ZOf7HqMfpmwLpaUWoExBv7xDn4YpxdLdTCktSnRdKLanXPlcTr6zuxS2mF4sAzu7t3v3tri3s3srS83n1-Rps_Xtv4q_sgvA90AuV7H4efP0f1N_A8zBjwA</recordid><startdate>20180201</startdate><enddate>20180201</enddate><creator>Praveen Raj, P.</creator><creator>Bhattacharya, Siddhartha</creator><creator>Parthasarathi, R.</creator><creator>Senthilnathan, P.</creator><creator>Rajapandian, S.</creator><creator>Saravana Kumar, S.</creator><creator>Palanivelu, C.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3270-2923</orcidid></search><sort><creationdate>20180201</creationdate><title>Evolution and Standardisation of Techniques in Single-Incision Laparoscopic Bariatric Surgery</title><author>Praveen Raj, P. ; 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| ispartof | Obesity surgery, 2018-02, Vol.28 (2), p.574-583 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Bariatric Surgery - methods Bariatric Surgery - standards Bariatric Surgery - trends Female Gastrectomy - adverse effects Gastrectomy - methods Gastrectomy - trends Gastric Bypass - adverse effects Gastric Bypass - methods Gastric Bypass - trends Gastrointestinal surgery How I Do It Humans Laparoscopy Laparoscopy - methods Laparoscopy - standards Laparoscopy - trends Male Medicine Medicine & Public Health Middle Aged Obesity Obesity, Morbid - pathology Obesity, Morbid - surgery Reference Standards Surgery Surgical outcomes Surgical techniques Surgical Wound - pathology Suture Techniques - standards Sutures - standards Treatment Outcome Young Adult |
| title | Evolution and Standardisation of Techniques in Single-Incision Laparoscopic Bariatric Surgery |
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