Efficacy of three-port laparoscopic sleeve gastrectomy in treatment of obesity

Objective To evaluate the feasibility, safety and efficacy of three-port laparoscopic sleeve gastrectomy(LSG). Methods Clinical data of 130 patients with obesity who underwent LSG from April 2020 to January 2021 and completed follow-up in time were analyzed retrospectively. All patients were divided into two groups as surgical method, there were 52 cases in three-port group and 78 cases in four-port group. Perioperative indicators and improvement of obesity in two groups were compared. Results All procedures were performed via LSG. Compared with four-port group, the mean operative time of three-port group was shorter [(88.35±22.64) min vs. (98.29±26.25) min, P=0.027]. There were no significant differences in amount of bleeding intraoperative, postoperative pain, postoperative drainage, hospital stay after operation, postoperative complication rate and weight loss 6 months and 2 years after surgery (P>0.05). Conclusions Under the premise of no increase in surgical complications and operative time, three-port LSG can reduce the number and size of surgical scars, which is conducive to skin beauty, and obtain the same weight loss effect as four-port LSG, and can be used as a routine operation for sleeve gastrectomy.