title: Single-port sleeve gastrectomy for super-obese patients.
abstract: BACKGROUND
  Laparoscopic sleeve gastrectomy, which has become a primary bariatric procedure in super-obese patients (SOPs), is associated with considerable weight loss. Traditionally, laparoscopic sleeve gastrectomy requires 4-7 skin incisions. Single-port laparoscopic surgery is now feasible for bariatric surgery.
  
  
  OBJECTIVE
  To evaluate the feasibility and safety of single-port sleeve gastrectomy (SPSG) for SOPs.
  
  
  METHODS
  Department of Abdominal and Minimally Invasive Surgery, Antoine Beclere Hospital, Assistance Publique-Hôpitaux de Paris, Paris-Sud University, France.
  
  
  METHODS
  Evaluation of the outcomes on patients who underwent surgery consecutively from June 2010 to June 2013 with follow-up of>1 year.
  
  
  RESULTS
  In total, 62 patients (46 women, 16 men) underwent SPSG. The median age was 41 years (range 19-67), median preoperative body mass index was 52.2 kg/m(2) (range 50-87), median operative time was 89 minutes (range 42-212). Twelve patients required additional trocars, and 4.8 % developed complications. The median postoperative stay was 4 days (range 3-9 days) and median follow-up period was 21 months (range 12-48 months) with no loss of follow-up. The median percentage of excess weight loss was 69.7% (range 52%-100%) and percentage of weight loss was 36% (28%-56%) for the same period.
  
  
  CONCLUSIONS
  SPSG for SOPs was found to be technically feasible, reproducible, and safe in this series.
authors.affiliation: Department of Minimally Invasive digestive Surgery, Hôpital Antoine Béclère, AP-HP, Clamart, France; Paris-Sud University, Kremlin-Bicêtre, France; Inserm, Unité 1193, Villejuif, France; DHU Hepatinov, Villejuif, France.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Pourcher
authors.affiliation: Department of Minimally Invasive digestive Surgery, Hôpital Antoine Béclère, AP-HP, Clamart, France; Paris-Sud University, Kremlin-Bicêtre, France.
authors.forename: Stefano
authors.initials: S
authors.lastname: Ferretti
authors.affiliation: Department of Minimally Invasive digestive Surgery, Hôpital Antoine Béclère, AP-HP, Clamart, France.
authors.forename: William
authors.initials: W
authors.lastname: Akakpo
authors.affiliation: Department of Minimally Invasive digestive Surgery, Hôpital Antoine Béclère, AP-HP, Clamart, France; Paris-Sud University, Kremlin-Bicêtre, France; Inserm, Unité 1193, Villejuif, France; DHU Hepatinov, Villejuif, France.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Lainas
authors.affiliation: Department of Minimally Invasive digestive Surgery, Hôpital Antoine Béclère, AP-HP, Clamart, France; Paris-Sud University, Kremlin-Bicêtre, France; Inserm, Unité 1193, Villejuif, France; DHU Hepatinov, Villejuif, France.
authors.forename: Hadrien
authors.initials: H
authors.lastname: Tranchart
authors.affiliation: Department of Minimally Invasive digestive Surgery, Hôpital Antoine Béclère, AP-HP, Clamart, France; Paris-Sud University, Kremlin-Bicêtre, France; Inserm, Unité 1193, Villejuif, France; DHU Hepatinov, Villejuif, France.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Dagher
mesh_terms: D000328:Adult; D000368:Aged; D050110:Bariatric Surgery / Q000379:methods; D005240:Feasibility Studies; D005260:Female; D005743:Gastrectomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011446:Prospective Studies; D013525:Surgical Instruments; D016896:Treatment Outcome; D015431:Weight Loss; D055815:Young Adult
keywords: Bariatric; Single port; Sleeve; Super-obese