Consalvo Vincenzo, Salsano Vincenzo, Sarno Gerardo, Chaze Iphigenie
Università degli Studi di Salerno, Via Giovanni Paolo II, Fisciano, SA, Italy.
Clinique Clementville Montpellier, 25 Rue de Clementville, Montpellier, France.
Obes Surg. 2017 Dec;27(12):3142-3148. doi: 10.1007/s11695-017-2760-0.
Bariatric surgery is a treatment for morbid obesity. Different surgical procedures have been described in order to obtain excess weight loss (EWL), but currently laparoscopic sleeve gastrectomy is the most commonly performed procedure throughout the world. Reducing abdominal wall trauma and increasing the aesthetic result are important goals for all bariatric surgeons. We conducted a randomized, controlled trial in order to assess if the three-trocar sleeve gastrectomy can be safely carried out or should be abandoned.
From September 2016 to February 2017, 90 patients were enrolled in our trial. Each patients was evaluated by a multidisciplinary team before surgery. Two groups were created after application of the inclusion and exclusion criteria. The primary endpoint was to define the features of early post-operative complications of patients in group 1 (the three-trocar technique-the experimental group) compared to group 2 (five-trocar technique-the control group). The secondary endpoints were to evaluate any differences between the two groups concerning post-operative pain and patients' satisfaction with the aesthetic results.
There was no difference between the two groups concerning age, sex distribution, weight, and BMI. The rate of co-morbidities was similar in both groups. Operative time was inferior in the control group, but patient satisfaction was better in the three-trocar sleeve gastrectomy group.
The three-trocar sleeve gastrectomy can be safely carried out with a modest increase in operative time, without additional early surgical complications and with a greater patient aesthetic satisfaction.
researchregistry2386.
减重手术是治疗病态肥胖的一种方法。为实现体重减轻，人们描述了不同的手术方式，但目前腹腔镜袖状胃切除术是全球最常用的手术。减少腹壁创伤和提高美观效果是所有减重外科医生的重要目标。我们进行了一项随机对照试验，以评估三孔袖状胃切除术是否可以安全实施或应被放弃。
2016年9月至2017年2月，90例患者纳入我们的试验。每位患者在手术前由多学科团队进行评估。应用纳入和排除标准后分为两组。主要终点是确定第1组（三孔技术-试验组）与第2组（五孔技术-对照组）患者术后早期并发症的特征。次要终点是评估两组在术后疼痛和患者对美观效果满意度方面的差异。
两组在年龄、性别分布、体重和BMI方面无差异。两组的合并症发生率相似。对照组的手术时间较短，但三孔袖状胃切除术组的患者满意度更高。
三孔袖状胃切除术可以安全实施，手术时间略有增加，无额外的早期手术并发症，且患者对美观效果的满意度更高。
researchregistry2386
