Acta Cirúrgica Brasileira (Jan 2018)

Technical innovation: Intragastric Single Port Sleeve Gastrectomy (IGSG). A feasibility survival study on porcine model

  • Oscar Estupinam,
  • André Lacerda de Abreu Oliveira,
  • Fernanda Antunes,
  • Manoel Galvão,
  • Henrique Phillips,
  • Jussara Peters Scheffer,
  • Marcelo Rios,
  • Ricardo Zorron

DOI
https://doi.org/10.1590/s0102-865020180010000010
Journal volume & issue
Vol. 33, no. 1
pp. 95 – 101

Abstract

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Abstract 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.

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