All types of bariatric operations can be performed through one laparoscopic incision, instead of 4 or 5. This type of laparoscopic surgery is referred to as “single-port”, “SILS: single incision laparoscopic surgery” or “LESS: Laparo-endoscopic single site” surgery. The main advantage of this approach is cosmetic. Disadvantages include longer operative time, extra cost and more difficulty performing the operation. Single port surgery is suitable for some patients. However, in most patients seeking bariatric surgery, this approach may not offer any advantage.
Laparoscopic Greater Curvature Plication (LGCP) is done by suturing the stomach folding it in layers to make its volume smaller. It is done by laparoscopy and has similar risk profile when compared with Laparoscopic Sleeve Gastrectomy (LSG). Long-term results are not well studied and appear to be poorer than LSG. That is why LGCP has not been widely adopted worldwide.
The robot is a machine that helps the surgeon to perform laparoscopic surgery with clarity and precision. Dr. Safadi worked extensively with the DaVinci ™robotic system and was part of the Stanford University group that reported on the first totally robotic gastric bypass. Dr. Safadi performed robotic bariatric surgery for patients while he was in Lebanon at the American University of Beirut Medical Center and at the Clemenceau Medical Center (CMC).
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