@article{article_1718156, title={Optimization of Trocar Sites in Laparoscopic Sleeve Gastrectomy: Experience From 4.450 Cases}, journal={Harran Üniversitesi Tıp Fakültesi Dergisi}, volume={22}, pages={557–561}, year={2025}, DOI={10.35440/hutfd.1718156}, author={Ocaklı, Serhat and Canlıkarakaya, Fırat and Uçar, Yasin and Sevim, Özgür and Altunsaray, Ayten and Banlı, Oktay}, keywords={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}, number={3}, publisher={Harran Üniversitesi}