title: Transumbilical single-incision laparoscopic sleeve gastrectomy: Short-term results and technical considerations.
abstract: BACKGROUND
  Laparoscopic sleeve gastrectomy (SG) has gained popularity and acceptance among bariatric surgeons, mainly due its low morbidity and mortality. Single-incision laparoscopic surgery has emerged as another modality of carrying out the bariatric procedures. While the single-incision transumbilical (SITU) approach represents an advance, especially for cosmetic reasons, its application in morbid obesity at present is limited. We describe our short-term surgical results and technical considerations with SITU-SG.
  
  
  METHODS
  SITU-SG was performed in 10 patients between June 2010 and June 2011. SG was performed in a standard fashion and was started 6 cm from the pylorus using a 36 French bougie.
  
  
  RESULTS
  They were all females with a mean age of 45 years. Preoperative BMI was 40 kg/m(2) (range, 35-45). The mean operative time was 98 min. No peri- or postoperative complications or deaths occurred. All patients were very satisfied with the cosmetic outcomes and excess weight loss.
  
  
  CONCLUSIONS
  True SITU laparoscopic SG is safe and feasible and can be performed without changing the existing principles of the procedure.
authors.affiliation: Department of Surgery, Medical University Innsbruck, Anichstr. 35, A - 6020 Innsbruck, Austria.
authors.forename: Reinhard
authors.initials: R
authors.lastname: Mittermair
keywords: Morbid obesity; single-incision laparoscopic surgery; single-incision transumbilical laparoscopic surgery; sleeve gastrectomy
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