Optimization of Trocar Sites in Laparoscopic Sleeve Gastrectomy:  Experience From 4.450 Cases

Serhat Ocaklı; Fırat Canlıkarakaya; Yasin Uçar; Özgür Sevim; Ayten Altunsaray; Oktay Banlı

Makale detayları

Optimization of Trocar Sites in Laparoscopic Sleeve Gastrectomy: Experience From 4.450 Cases

Yazarlar:

Serhat Ocaklı | Fırat Canlıkarakaya | Yasin Uçar | Özgür Sevim | Ayten Altunsaray | Oktay Banlı

Yayıncı:

Harran University

Ana Başlıklar:

Genel Cerrahi

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.22 Issue 3, pp.557-561

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001352419

pISSN:

1304-9623

Anahtar kelimeler:

Özet:

 Background: Obesity is seen in almost one in four adults today and is expected to have an increasing incidence in the coming years. It is predicted that one in every two adults in the USA will be obese by 2030. Laparoscopic sleeve gastrectomy LSG is the most frequently preferred surgical method with proven efficacy for the treatment of obesity. In this study, we aimed to describe our experi-ence with the trocar sites we optimized and standardized for use in LSG. Methods: 4450 patients who had LSG performed by a single surgeon Senior author were included in the study. The optimized trocar sites determined according to previous surgical experience were examined in terms of their intended use and advantages. Results: No trocar site revision or additional trocar use was required during LSG in any of the 4450 cases in which the trocar sites were optimized. Conclusions: We consider that the technique presented in our study minimizes the risk of insuffi-cient exposure and provides anatomical standardization. The insertion of two additional trocars compared to the three-trocar technique does not increase postoperative herniation risk or esthetic concerns. Keywords: Laparoscopic sleeve gastrectomy, trocar, obesity surgery.

 Background: Obesity is seen in almost one in four adults today and is expected to have an increasing incidence in the coming years. It is predicted that one in every two adults in the USA will be obese by 2030. Laparoscopic sleeve gastrectomy LSG is the most frequently preferred surgical method with proven efficacy for the treatment of obesity. In this study, we aimed to describe our experi-ence with the trocar sites we optimized and standardized for use in LSG. Methods: 4450 patients who had LSG performed by a single surgeon Senior author were included in the study. The optimized trocar sites determined according to previous surgical experience were examined in terms of their intended use and advantages. Results: No trocar site revision or additional trocar use was required during LSG in any of the 4450 cases in which the trocar sites were optimized. Conclusions: We consider that the technique presented in our study minimizes the risk of insuffi-cient exposure and provides anatomical standardization. The insertion of two additional trocars compared to the three-trocar technique does not increase postoperative herniation risk or esthetic concerns. Keywords: Laparoscopic sleeve gastrectomy, trocar, obesity surgery.

 Background: Obesity is seen in almost one in four adults today and is expected to have an increasing incidence in the coming years. It is predicted that one in every two adults in the USA will be obese by 2030. Laparoscopic sleeve gastrectomy LSG is the most frequently preferred surgical method with proven efficacy for the treatment of obesity. In this study, we aimed to describe our experi-ence with the trocar sites we optimized and standardized for use in LSG. Methods: 4450 patients who had LSG performed by a single surgeon Senior author were included in the study. The optimized trocar sites determined according to previous surgical experience were examined in terms of their intended use and advantages. Results: No trocar site revision or additional trocar use was required during LSG in any of the 4450 cases in which the trocar sites were optimized. Conclusions: We consider that the technique presented in our study minimizes the risk of insuffi-cient exposure and provides anatomical standardization. The insertion of two additional trocars compared to the three-trocar technique does not increase postoperative herniation risk or esthetic concerns. Keywords: Laparoscopic sleeve gastrectomy, trocar, obesity surgery.

 Amaç: Obezite günümüzde neredeyse dört yetişkinden birinde görülmektedir ve önümüzdeki yıllar-da görülme sıklığının artması beklenmektedir. ABDde her iki yetişkinden birinin 2030 yılına kadar obez olacağı tahmin edilmektedir. Laparoskopik sleeve gastrektomi LSG, obezite tedavisinde etkin-liği kanıtlanmış en sık tercih edilen cerrahi yöntemdir. Bu çalışmada, LSGde kullanım için optimize ettiğimiz ve standardize ettiğimiz trokar bölgeleri ile ilgili deneyimimizi anlatmayı amaçladık. Materyal ve Metod: Tek bir cerrah Kıdemli yazar tarafından LSG uygulanan 4450 hasta çalışmaya dahil edildi. Önceki cerrahi deneyime göre belirlenen optimize edilmiş trokar bölgeleri, amaçlanan kullanımları ve avantajları açısından incelendi. Bulgular: Trokar bölgelerinin optimize edildiği 4450 vakanın hiçbirinde LSG sırasında trokar bölgesi revizyonu veya ek trokar kullanımı gerekmedi. Sonuç: Çalışmamızda sunulan tekniğin yetersiz pozlama riskini en aza indirdiğini ve anatomik stand-ardizasyon sağladığını düşünüyoruz. Üç trokarlı tekniğe kıyasla iki ek trokar yerleştirilmesi, ameliyat sonrası herniasyon riskini veya estetik kaygıları artırmaz. Anahtar Kelimeler: Laparoskopik sleeve gastrektomi, trokar, obezite cerrahisi.

Makale detayları

Optimization of Trocar Sites in Laparoscopic Sleeve Gastrectomy: Experience From 4.450 Cases

Yazarlar:

Serhat Ocaklı | Fırat Canlıkarakaya | Yasin Uçar | Özgür Sevim | Ayten Altunsaray | Oktay Banlı

Yayıncı:

Harran University

Ana Başlıklar:

Genel Cerrahi

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.22 Issue 3, pp.557-561

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001352419

pISSN:

1304-9623

Laparoscopic sleeve gastrectomy

trocar

obesity surgerylaparoskopik sleeve gastrektomi

obezite cerrahisi

trokar

Sayı

Makale detayları

Optimization of Trocar Sites in Laparoscopic Sleeve Gastrectomy: Experience From 4.450 Cases

Yazarlar: Serhat Ocaklı | Fırat Canlıkarakaya | Yasin Uçar | Özgür Sevim | Ayten Altunsaray | Oktay Banlı

Yayıncı: Harran University

Ana Başlıklar: Genel Cerrahi

Dergi: Harran Üniversitesi Tıp Fakültesi Dergisi Vol.22 Issue 3, pp.557-561

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001352419

pISSN: 1304-9623

Laparoscopic sleeve gastrectomy

trocar

obesity surgerylaparoskopik sleeve gastrektomi

obezite cerrahisi

trokar

Sayı

Yazarlar:

Serhat Ocaklı | Fırat Canlıkarakaya | Yasin Uçar | Özgür Sevim | Ayten Altunsaray | Oktay Banlı

Yayıncı:

Harran University

Ana Başlıklar:

Genel Cerrahi

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.22 Issue 3, pp.557-561

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001352419

pISSN:

1304-9623