An Evaluation of the Effectiveness and Safety of Mini Laparoscopic Sleeve Gastroplasty in the Treatment of Severe Obesity

Abstract The study aimed to evaluate the feasibility of using mini laparoscopic tools in sleeve gastrectomy and compare its safety and efficacy with other techniques in patients with severe obesity. 141 patients underwent sleeve gastrectomy using mini laparoscopic tools from 2017 to 2022. The results showed a significant reduction in weight after one month postoperatively, with a mean weight reduction of 10.7 ± 1.5 kg and a significant reduction in BMI of 4 ± 0.55 and 12.4 ± 5.5 after one month and one year, respectively. The patients exhibited a total weight loss (TWL%) of 10.3% and 24% after one month and one year, respectively. The study concluded that mini laparoscopic sleeve gastrectomy is an effective, safe, and feasible technique, associated with a lower incidence of port site hernias, decreased postoperative pain, and better cosmesis. Compared to traditional laparoscopic sleeve gastrectomy, mini laparoscopic tools have the same effectiveness and safety, with a lower incidence of complications and better results regarding pain, cosmesis, and wound site infection. Keywords: sleeve gastrectomy, LSG, mini laparoscopy, obesity, bariatric metabolic surgery.