gms | German Medical Science

133. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

26.04. - 29.04.2016, Berlin

Artikel

Artikel empfehlen

Technical innovation: Intragastric single port sleeve gastrectomy (IGSG) for morbid obesity – A feasibility survival study on porcine model

Meeting Abstract

Suche in Medline nach

  • Christian Benzing - Charite Universitätsmedizin Berlin, Campus Virchow Klinikum, Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Berlin, Deutschland
  • Oscar Estupinan - Universidade Estadual Norte Fluminense (UENF), Department for Experimental Surgery, Rio de Janeiro, Brazil
  • Andre Oliveira - Universidade Estadual Norte Fluminense (UENF), Department for Experimental Surgery, Rio de Janeiro, Brazil
  • Henrique Phillips - Universidade Estadual Norte Fluminense (UENF), Department for Experimental Surgery, Rio de Janeiro, Brazil
  • Johann Pratschke - Charite Universitätsmedizin Berlin, Campus Virchow Klinikum, Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Berlin, Deutschland
  • Ricardo Zorron - Charite Universitätsmedizin Berlin, Campus Virchow Klinikum, Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Berlin, Deutschland

Deutsche Gesellschaft für Chirurgie. 133. Kongress der Deutschen Gesellschaft für Chirurgie. Berlin, 26.-29.04.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. Doc16dgch389

doi: 10.3205/16dgch389, urn:nbn:de:0183-16dgch3896

Veröffentlicht: 21. April 2016

© 2016 Benzing et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Background: Laparoscopic Sleeve Gastrectomy (LSG) has become a primary procedure for management of morbid obesity. Different approaches have been described to make it simpler and minimize surgical trauma and complications, including endoluminal, NOTES, and single port techniques. This project aims to perform technically the LSG using a unique intragastric Single Port (IGSG) in animal swine model, evidencing an effective and safe procedure, optimizing the conventional technique.

Materials and methods: IGSG was performed in 4 minipigs, using a percutaneous intragastric single port located in the pre-pyloric region. The gastric stapling of the greater curvature started from the pre-pyloric region towards the angle of His by Endo GIA™ system and the specimen was removed through the single port. In the postoperative day 30, the animals were sacrificed and submitted to autopsy.

Results: All procedures were performed without conversion, and all survived 30 days. The mean operative time was 42 min. During the perioperative period no complications were observed during invagination and stapling. No postoperative complications occurred. Post-mortem examination showed no leaks or infectious complications.

Conclusion: IGSG is a feasible procedure that may be a suitable alternative technique of sleeve gastrectomy for the treatment of morbid obesity.