Takeaway
- Single-incision laparoscopic sleeve gastrectomy (SILSG) was associated with an improved cosmetic satisfaction and showed no disadvantages in terms of surgical outcomes compared with conventional laparoscopic sleeve gastrectomy (CLSG).
Why this matters
- Findings suggest that SILSG can be an alternative to CLSG for obese patients.
Study design
- 11 studies including 1168 patients met eligibility criteria after a search across PubMed, EMBASE and Cochrane Library CENTRAL databases.
- Funding: the Startup Fund for Scientific Research of Fujian Medical University.
Key results
- Satisfaction in terms of cosmetic scar outcomes was greater with SILSG vs CLSG (standard mean difference [SMD], 2.47; 95% CI, 1.10-3.83).
- No significant difference was observed between the groups in terms of:
- operative time (SMD, 0.27; 95% CI, −0.01 to 0.55);
- estimated blood loss (SMD, −0.59; 95% CI, −1.36 to 0.17);
- conversion rate (OR, 0.46; 95% CI, 0.07-3.02);
- intraoperative complications (OR, 0.32; 95% CI, 0.06-1.59); and
- length-of-hospital stay (SMD, −0.25; 95% CI, −0.74 to 0.23).
- Post-operative analgesia, post-operative complications, excess weight loss and improvements in comorbidities did not differ between SILSG and CLSG.
Limitations
- Meta-analysis included only 1 randomised controlled trial.
- Risk of bias.
References
References
