Three-dimensional laparoscopic sleeve gastrectomy: improved patient safety and surgeon convenience
Martínez Ubieto, Fernando ; Jiménez Bernadó, Teresa (Universidad de Zaragoza) ; Martínez Ubieto, Javier (Universidad de Zaragoza) ; Cabrerizo, Antonio ; Pascual Bellosta, Ana ; Muñoz Rodríguez, Luis ; Jiménez Bernadó, Alfredo
Resumen: One of the aims of laparoscopic surgery is to improve upon the results obtained by open surgery. This clearly appears to have been achieved in bariatric surgery. Two-dimensional (2-D) systems have been used to date, though new 3-dimensional (3-D) technologies have been introduced in an attempt to improve surgeon vision and thus increase the safety of the surgical techniques. Sixty obese patients underwent sleeve gastrectomy using a device equipped with 3-D optics allowing surgery to be viewed by the surgeon in 3 dimensions by using a specific monitor and wearing appropriate glasses. The mean patient age was 48.1 years. The mean weight was 114 kg (range, 92–172), with a mean body mass index (BMI) of 44 ± 5.21 kg/m2. All surgeries were performed using the 3-D system, with a mean surgical time of 71 ± 49.6 minutes and a mean hospital stay of 3.0 ± 1.2 days. Only 1 intraoperative complication was recorded: retroperitoneal bleeding on insertion of the optical trocar. Over a mean follow-up period of 12 months, the mean body weight of the patients was 88 kg (range, 71–121), with a BMI of 30.56 ± 3.98 kg/m2 and a percentage excess weight loss of 68.14% ± 7.89%. There was clear improvement of both the blood pressure and glucose levels. Three-dimensional sleeve gastrectomy is safe, viable, and fully reproducible compared with 2-D surgery, improving visualization of the surgical field, safety, and surgeon convenience. Randomized studies involving larger patient samples are needed for the comparison of results
Idioma: Inglés
DOI: 10.9738/INTSURG-D-14-00287.1
Año: 2015
Publicado en: International surgery 100, 6 (2015), 1134-7
ISSN: 0020-8868
Factor impacto JCR: 0.5 (2015)
Categ. JCR: SURGERY rank: 184 / 200 = 0.92 (2015) - Q4 - T3
Factor impacto SCIMAGO: 0.3 - Surgery (Q3)
Tipo y forma: Article (Published version)
Área (Departamento): Área Enfermería (Dpto. Fisiatría y Enfermería)
Área (Departamento): Área Cirugía (Dpto. Cirugía,Ginecol.Obstetr.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes.
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Idioma: Inglés
DOI: 10.9738/INTSURG-D-14-00287.1
Año: 2015
Publicado en: International surgery 100, 6 (2015), 1134-7
ISSN: 0020-8868
Factor impacto JCR: 0.5 (2015)
Categ. JCR: SURGERY rank: 184 / 200 = 0.92 (2015) - Q4 - T3
Factor impacto SCIMAGO: 0.3 - Surgery (Q3)
Tipo y forma: Article (Published version)
Área (Departamento): Área Enfermería (Dpto. Fisiatría y Enfermería)
Área (Departamento): Área Cirugía (Dpto. Cirugía,Ginecol.Obstetr.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. Exportado de SIDERAL (2023-02-10-14:00:28)
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Record created 2021-03-25, last modified 2023-02-10