Technical innovation: Intragastric Single Port Sleeve Gastrectomy (IGSG). A feasibility survival study on porcine model
Autor: | André Lacerda de Abreu Oliveira, Jussara Peters Scheffer, Oscar Estupinam, Marcelo Rios, Manoel Galvão, Fernanda Antunes, Ricardo Zorron, Henrique Neubarth Phillips |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Sleeve gastrectomy Time Factors Percutaneous RD1-811 Swine medicine.medical_treatment Operative Time Bariatric Surgery Angle of His 03 medical and health sciences 0302 clinical medicine Port (medical) Gastrectomy Medical Illustration Surgical Stapling medicine Animals Laparoscopy medicine.diagnostic_test business.industry Reproducibility of Results Invagination Perioperative Curvatures of the stomach Surgery Obesity Morbid 030220 oncology & carcinogenesis Models Animal Feasibility Studies 030211 gastroenterology & hepatology business |
Zdroj: | Acta Cirúrgica Brasileira v.33 n.1 2018 Acta Cirúrgica Brasileira Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) instacron:SBDPC Acta Cirurgica Brasileira, Vol 33, Iss 1, Pp 95-101 (2018) Acta Cirurgica Brasileira, Volume: 33, Issue: 1, Pages: 101-95, Published: JAN 2018 |
Popis: | Purpose: To perform technically the laparoscopic sleeve gastrectomy (LSG) using a unique Intragastric Single Port (IGSG) in animal swine model, evidencing an effective and safe procedure, optimizing the conventional technique. Methods: IGSG was performed in 4 minipigs, using a percutaneous intragastric single port located in the pre-pyloric region. The gastric stapling of the greater curvature started from the pre-pyloric region towards the angle of His by Endo GIA™ system and the specimen was removed through the single port. In the postoperative day 30, the animals were sacrificed and submitted to autopsy. Results: All procedures were performed without conversion, and all survived 30 days. The mean operative time was 42 min. During the perioperative period no complications were observed during invagination and stapling. No postoperative complications occurred. Post-mortem examination showed no leaks or infectious complications. Conclusion: Intragastric Single Port is a feasible procedure that may be a suitable alternative technique of sleeve gastrectomy for the treatment of morbid obesity. |
Databáze: | OpenAIRE |
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