ABSTRACT
Background: In recent years, laparoscopic sleeve gastrectomy [LSG] has become more acceptable for obese patients. Single-port sleeve gastrectomy [SPSG] is more popular since each abdominal incision carries the risk of bleeding, hernia, and internal organ injury as well as exponentially affecting cosmesis. This cross-sectional study aimed at comparing multi-port sleeve gastrectomy [MPSG] and SPSG in terms of their early results and complications
Methods: Out of129 obese patients candidated for LSG, 102 patients were assigned to 2 groups of SPSG and MPSG. Complications and demographic data such as body mass index [BMI], age, gender, operation time, and hospital stay were measured. All surgeries were carried out between2013 and 2015 in Shiraz, Iran. Data analysis was performed using SPSS, version 16 for Windows [SPSS Inc., Chicago, IL]. The continuous and categorical variables were compared using the Student t-test and the Chi-square test or the Fisher exact test, respectively
Results: The patients' data from both groups were similar in terms of age, intraoperative and postoperative bleeding volume, and length of hospital stay. Mean BMI was 42.8+/-0.7 in the SPSG group and 45.3+/-1.2 in the MPSG group. Duration of surgery was significantly lower in the SPSG group [P<0.001]. Only 1 patient from the SPSG group and 5 patients from the MPSG group had bleeding as an early complication
Conclusion: The differences in each complication between the groups were not statistically significant. SPSG seems to be safe and is the same as MPSG in terms of major postoperative complications