C Rajkumar Vinayak
General Hospital Taiping, Malaysia
Title: SILS sleeve gastrectomy: A technical perspective
Biography
Biography: C Rajkumar Vinayak
Abstract
Single Incision Laparoscopic Sleeve Gastrectomy (SILS) involves a single incision and specialized port platforms to facilitate surgery. SILS is unique and challenging in bariatric surgery due to the thickness of the patient’s abdominal wall. Here we present a video demonstration of a SILS sleeve gastrectomy using the Gelpoint platform with incorporation of needleoscopic-like instruments. Inclusion criteria for our cohort are as per standard NICE guidelines for the asian population. Patients with excessive android habitus, large livers and the super obese (BMI>50) were excluded. A total of 121 bariatric procedures were performed at our centre from may 2015 to may 2016. 5 patients out of 56 sleeve gastrectomies performed requested for SILS. All 5 patients were discharged well by post op day 2-3. Benefits from SILS involve a less invasive approach and minimum visible scarring (achieving close to the scarless effect). Disadvantages include loss of triangulation and cluttering of instruments. Also, surgeons will need to familiarize themselves with the learning curve and demanding techniques. As innovations occur in the SILS platform, a difficult intervention can be made relatively easy, safe and cost effective. In conclusion SILS is a surgical modality, which if performed correctly, brings about results comparable with standard laparoscopy bariatric surgery with the addition of cosmesis and cost-effectiveness.