Department of Minimally Invasive Digestive Surgery, Antoine-Beclere Hospital AP-HP, F-92140, Clamart, France.
Paris-Saclay University, F-91405, Orsay, France.
Obes Surg. 2020 Jul;30(7):2781-2790. doi: 10.1007/s11695-020-04620-2.
This report aims to review current data on single-incision (single-port) laparoscopic surgery (SILS) for bariatric surgery. A comprehensive research of Pubmed database and Cochrane library on SILS bariatric surgery was conducted. Twenty-eight articles met inclusion criteria (3611 patients). Intraoperative and clinical outcomes for SILS sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and adjustable gastric banding (AGB) seem comparable to conventional laparoscopy. SILS for SG was safe and feasible with good outcomes. The same stands for RYGB but more studies are necessary for safe conclusions, while additional trocars are necessary to perform the procedure. AGB is feasible and safe by SILS but the declining number of annual procedures will probably limit the use of SILS. Major studies are unavailable for SILS and other bariatric procedures.
本报告旨在回顾目前关于减重手术单切口（单孔）腹腔镜手术（SILS）的相关数据。对 Pubmed 数据库和 Cochrane 图书馆进行了综合研究，以检索 SILS 减重手术相关文章。28 篇文章符合纳入标准（3611 例患者）。SILS 袖状胃切除术（SG）、Roux-en-Y 胃旁路术（RYGB）和可调胃束带术（AGB）的术中及临床结局与传统腹腔镜手术相当。SILS 行 SG 是安全可行的，具有良好的效果。RYGB 也是如此，但需要更多的研究来得出安全的结论，而该手术需要额外的套管针来完成。SILS 行 AGB 是可行且安全的，但每年手术数量的减少可能会限制 SILS 的使用。SILS 和其他减重手术的主要研究尚不可用。
