关键词: 袖状胃切除术, 腹腔镜, 单孔, 肥胖症

Abstract: Objective To explore the safety,feasibility and superiority of single-incision laparoscopic sleeve gastrectomy.
Methods A retrospective analysis of 56 cases of sleeve gastrectomy completed in our department from January 2018 to April 2019 was made,including 28 cases of single-incision laparoscopic sleeve gastrectomy(single-incision group) and 28 cases of traditional laparoscopic sleeve gastrectomy(traditional group).The differences in operation results and follow-up results between the two groups were compared.
Results The operation time of the single hole group was significantly longer than that of the traditional group[(156.7±13.2)min vs.(113.4±11.7)min,P<0.05],the hospitalization time was significantly shorter than that of the traditional group[(4.80±0.69)d vs.(5.30±0.64)d,P<0.05],and the scores of postoperative pain[(3.5±0.5) vs(4.8±0.6),P<0.05] and beauty satisfaction[(4.5±0.6) vs(4.0±0.7),P<0.05] were better than that of the traditional group.However,there was no statistical difference in the incidence of postoperative complications,excess weight loss and the remission of co-morbidities after 12 months between the two groups(P>0.05).
Conclusion Single-incision laparoscopic sleeve gastrectomy is safe,effective and feasible,and has more advantages in cosmetic results.

Key words: sleeve gastrectomy, laparoscopy, single-incsion, obesity