Single Incision Laparoscopic Bariatric Surgery: Challenging the Conventional
Single Incision Laparoscopic Surgery in Obese Population
Abstract
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
Keywords :
bariatric,
cosmetic,
laparoscopy,
Obesity,
sleeve gastrectomy,
Abstrak
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.
Kata Kunci :
bariatrik,
kosmetik,
laparoskopi,
Obesiti,
sleeve gastrectomy,
Correspondance Address
Reynu Rajan, Minimally Invasive, Upper Gastrointestinal and Bariatric Surgery Unit, Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. Tel: +603 91456201 Fax: +603- 91456684 E-mail: dr.reynu@gmail.com
