Three ports versus conventional five ports laparoscopic sleeve gastrectomy for treatment of morbid obesity; a retrospective study.

Algazar, Mohammed; Abdalla, Wael M.; Elalfy, Tamer Rushdy

doi:10.21608/zumj.2021.69497.2182

Three ports versus conventional five ports laparoscopic sleeve gastrectomy for treatment of morbid obesity; a retrospective study.

Document Type : Original Article

Authors

¹ general surgery department faculty of medicine zagazig university

² Faculty of Medicine, Zagazig University, Egypt

³ Lecturer general surgery faculty of medicine zagazig university

10.21608/zumj.2021.69497.2182

Abstract

Abstract
Aim: To assess and compare the feasibility and efficacy of three-port laparoscopic sleeve gastrectomy (3P LSG) and conventional 5 ports laparoscopic sleeve gastrectomy (5P LSG).
Patients and Methods: A prospective comparative randomized clinical trial to compare patients who underwent 3P LSG versus conventional 5P LSG, each group contain 120 patients.
Results: The follow-up was 12 months for both groups. Mean operative time was longer in 3P LSG (65.5 ± 10.24 min) vs. (55.9± 5. 2 min) in 5P LSG, (P < 0.000). There were 2 cases of intraoperative bleeding in each group. One case of leak in each group. Wound infection at port site was observed in 1 and 2 trocar sites in 3P LSG and 5P LSG (P = 1.000), respectively. At mean 12 months follow-up, with no lost, excess weight loss percentage (%EWL) was 40.44 ±6.34 in 3P LSG and 41.62±5.74 in 5P LSG ( P= 0.127).
Conclusion: Three-port laparoscopic sleeve gastrectomy (3P LSG) is a feasible technique without affecting (%EWL) rates, with acceptable complication rate, but with longer operative time.

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