AI Article Synopsis
- Single-incision laparoscopic sleeve gastrectomy (SILSG) is proposed as a less invasive option compared to conventional laparoscopic sleeve gastrectomy (CLSG) for obese patients, focusing on comparing surgical outcomes.
- A meta-analysis of 11 studies involving 1168 patients indicated that SILSG led to higher patient satisfaction regarding cosmetic scars, but there were no significant differences between SILSG and CLSG in other surgical outcomes.
- The findings suggest SILSG is a viable alternative to CLSG due to its cosmetic benefits, but more high-quality research is needed for definitive conclusions on long-term outcomes.
Article Abstract
Background: Single-incision laparoscopic sleeve gastrectomy (SILSG) has been proposed as an alternative to conventional laparoscopic sleeve gastrectomy (CLSG) in obese patients. This study aims to compare the surgical outcomes of these two techniques.
Methods: A meta-analysis of existing literature obtained through a systematic literature search in the PubMed, EMBASE, and Cochrane Library CENTRAL databases from 2009 to 2019 was conducted.
Results: Eleven articles including 1168 patients were analyzed. Patients in the SILSG group reported greater satisfaction with cosmetic scar outcomes than those in the CLSG group (SMD = 2.47, 95% CI = 1.10 to 3.83, P = 0.00). There was no significant difference between the SILSG group and the CLSG group regarding operative time, intraoperative estimated blood loss, conversion rate, intraoperative complications, length of hospital stay, postoperative analgesia, postoperative complications, excess weight loss (EWL), and improvements in comorbidities (P > 0.05).
Conclusions: Compared to CLSG, SILSG resulted in improved cosmetic satisfaction and showed no disadvantages in terms of surgical outcomes; thus, SILSG can serve as an alternative to CLSG for obese patients. Nonetheless, high-quality randomized controlled trials (RCTs) with large study populations and long follow-up periods are needed.
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| http://dx.doi.org/10.1007/s11695-020-04437-z | DOI Listing |
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