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Journals / Harran Üniversitesi Tıp Fakültesi Dergisi / 2025 / Cilt: 22 Sayı: 3

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

Laparoskopik Sleeve Gastrektomide Trokar Yerlerinin Optimizasyonu: 4.450 Vakadan Elde Edilen Deneyim

Serhat Ocaklı(ANKARA MEDİPOL UNIVERSITY)0000-0002-3176-4914
Fırat Canlıkarakaya(AMASYA ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-4858-7480
Yasin Uçar(Ankara Training and Research Hospital, Department Surgical Oncology)0000-0002-6533-9254
Özgür Sevim(ADIYAMAN UNIVERSITY)0000-0002-8470-3197
Ayten Altunsaray(Obesity Surgery Ankara Clinic)0000-0003-4965-5502
Oktay Banlı(Obesity Surgery Ankara Clinic)0000-0002-1977-0983
Pages
557–561
Publication Date
2025-09-29
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Keywords: Laparoscopic sleeve gastrectomy, trocar, obesity surgery

📌 3 Key Takeaways

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Objective & Hypothesis:Background: Obesity is seen in almost one in four adults today and is expected to have an increasing incidence in the coming years.
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Key Findings & Data:It is predicted that one in every two adults in the USA will be obese by 2030.
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Conclusion & Impact:Keywords: Laparoscopic sleeve gastrectomy, trocar, obesity surgery
🔬Design:Araştırma Makalesi
📍Scope:2030 Verileri
⚙️Variables:laparoskopik sleeve gastrektomi · obezite cerrahisi · trokar

Abstract

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

Özet

Amaç: Obezite günümüzde neredeyse dört yetişkinden birinde görülmektedir ve önümüzdeki yıllar-da görülme sıklığının artması beklenmektedir. ABD'de 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, LSG'de 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

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Cite This Article

Ocaklı, S., Canlıkarakaya, F., Uçar, Y., Sevim, Ö., Altunsaray, A., Banlı, O., *, F. C. (2025). Optimization of Trocar Sites in Laparoscopic Sleeve Gastrectomy: Experience From 4.450 Cases. Harran Üniversitesi Tıp Fakültesi Dergisi, Cilt: 22 Sayı: 3, 557–561. https://doi.org/10.35440/hutfd.1718156

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