title: [Three-port laparoscopic sleeve gastrectomy: feasibility and short outcomes in 25 consecutives super-obese patients].
abstract: BACKGROUND
  The aim of this paper is to propose our technique, namely three-port laparoscopic sleeve gastrectomy (TPLSG), to define the feasibility and expose the short-outcomes, as an alternative between the standard laparoscopic approach and the single incision (SILSG) for such patients.
  
  
  METHODS
  We conducted a prospective study of 25 patients: 12 male and 13 female, reporting a mean BMI of 53 kg/m² (range: 50-72) and a mean age of 38 years (range: 29-55). To evaluate the feasibility of our technique we have always respecting 3 pre-operatives conditions: BMI ≥ 50 kg/m². Preoperative abdominal US or CT to measure the liver and determine the hepato-splenic characteristics. "Intent to treat by 3 ports" (2 of 5 mm and one 12 mm in diameter). The short outcomes follow-up include: operative time, conversion, transfusions, fistula, reinterventions and parietal herniation at one and three months after surgery.
  
  
  RESULTS
  Hepatomegaly was present in 19 (76%) patients, and it's greater on the left hepatic lobe in 9 (36%) patients. The mean operation time was 72 min (range: 50-110). No per-operative complications were observed. Conversion to four ports procedure was necessary in one patient. The mean hospital stay was 3 days (range: 2-5). No mortality and 30th POD morbidity rate was reported. No patient developed an incisional hernia to date.
  
  
  CONCLUSIONS
  The TPLSG reduces the ports in number and in size and subsequently the parietal trauma, it also an instrumental triangulation, making surgery safe and reproducible.
authors.affiliation: Department of Surgery, U.M.A.D.E. and U.P.O, Universitary Hospital Center of Luxembourg Luxembourg, Luxembourg.
authors.forename: Luca
authors.initials: L
authors.lastname: Arru
authors.forename: Juan Santiago
authors.initials: JS
authors.lastname: Azagra
authors.forename: Martine
authors.initials: M
authors.lastname: Goergen
authors.forename: Vito
authors.initials: V
authors.lastname: de Blasi
authors.forename: Luigi
authors.initials: L
authors.lastname: de Magistris
authors.forename: Olivier
authors.initials: O
authors.lastname: Facy
mesh_terms: D000328:Adult; D005240:Feasibility Studies; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011446:Prospective Studies; D013997:Time Factors