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Single Incision Laparoscopic Bariatric Surgery: Challenging the Conventional

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Pembedahan 'sleeve gastrectomy' semakin popular kebelakangan ini dan kebiasaannya dijalankan menggunakan kaedah laparoskopi yang memerlukan beberapa potongan kecil di atas kulit. Kehadiran pembedahan laparoskopik insisi tunggal telah membolehkan pembedahan 'sleeve gastrectomy' kini dilakukan menerusi satu luka kecil yang lebih kosmetik justeru meningkatkan kepuasan pesakit. Menerusi artikel ini, kami cuba untuk menerangkan sejarah, kekangan teknikal, cadangan untuk mengatasi cabaran-cabaran yang mungkin timbul dalam pembedahan bariatrik laparoskopik insisi tunggal dan teknik pilihan kami sewaktu menjalankan pembedahan laparoskopik insisi tunggal 'sleeve gastrectomy' secara eksklusif melalui hanya satu alat akses ke rongga peritoneal.

Sleeve gastrectomy has gained popularity over the years and is commonly performed laparoscopically through multiple small incisions. The arrival of single incision laparoscopic surgery has been a game changer, allowing for sleeve gastrectomy to be performed through a cosmetically more appeasing scar with improved patient satisfaction. In this article, we describe the history, technical challenges, proposed solutions to some of the hurdles faced during single-incision laparoscopic bariatric surgery and highlight our method of performing single incision laparoscopic sleeve gastrectomy purely through a single access device