Wu Chengyu, Lu Xiaojing, Wang Jing, Li Yonglin, Zheng Qi, Wei Rongwei, Zong Ziliang, Chen Yigang, Pei Lei
Department of General Surgery, The Affiliated Wuxi No. 2 Hospital of Nanjing Medical University, Nanjing, China.
Jiangnan University, Wuxi, China.
Obes Surg. 2025 Jan;35(1):257-262. doi: 10.1007/s11695-024-07636-0. Epub 2024 Dec 20.
Laparoscopic sleeve gastrectomy has become the most popular weight loss surgery currently, but it inevitably leaves multiple small scars in the abdomen. Although the appearance of single-incision laparoscopic sleeve gastrectomy achieve better cosmetic results, it may lead to postoperative complications such as umbilical hernia and umbilical infection. The author has developed a new surgical approach that can compensate for these deficiencies, which we called needlescopic laparoscope sleeve gastrectomy (NLSG).
Four consecutive patients underwent needlescopic laparoscope sleeve gastrectomy between July 2024 and August 2024. A 3-mm trocar located at the lower left abdomen is for the 2.7-mm needlescopic laparoscope to observe. Another 3-mm trocar located at the right upper abdomen is for the 2.7-mm needlescopic intestinal clamp to assist in surgery. The 12-mm trocar at the navel serves as the main operating hole, through which the ultrasonic knife and endoscopic linear cutter stapler enters. All 3-mm incisions are not sutured, and the 12-mm incision at the navel is sutured intradermally to achieve complete invisibility of the wound. All patients used the same surgical instruments, technique, and perioperative protocol.
The procedure was successfully performed in all patients. The average surgical time is 57 ± 9.1 min. There were no mortalities or postoperative complications noted during the 3-month follow-up period.
Needlescopic laparoscope sleeve gastrectomy is safe, feasible, and great potential.
腹腔镜袖状胃切除术已成为目前最受欢迎的减肥手术，但不可避免地会在腹部留下多个小疤痕。尽管单孔腹腔镜袖状胃切除术的外观效果更好，但可能会导致术后并发症，如脐疝和脐部感染。作者开发了一种新的手术方法，可以弥补这些不足，我们称之为针式腹腔镜袖状胃切除术（NLSG）。
2024年7月至2024年8月，连续4例患者接受了针式腹腔镜袖状胃切除术。位于左下腹的一个3毫米套管针用于插入2.7毫米针式腹腔镜进行观察。位于右上腹的另一个3毫米套管针用于插入2.7毫米针式肠钳辅助手术。脐部的12毫米套管针作为主要操作孔，超声刀和内镜直线切割吻合器通过该孔进入。所有3毫米的切口均不缝合，脐部的12毫米切口采用皮内缝合，使伤口完全不可见。所有患者使用相同的手术器械、技术和围手术期方案。
所有患者手术均成功完成。平均手术时间为57±9.1分钟。在3个月的随访期内，无死亡病例或术后并发症。
针式腹腔镜袖状胃切除术安全、可行，具有很大的潜力。
