A NOVEL LAPAROSCOPIC ARTICULATING DEVICE FOR LAPAROSCOPIC SLEEVE GASTRECTOMY PLUS DUODENOJEJUNAL BYPASS IN KOREAN OBESE PATIENTS

초록

Background/Objectives For surgical treatment of severely obese patients in South Korea, various bariatric surgery options are available; one of the methods has recently gained interest among foregut surgeons: the sleeve gastrectomy combined with a duodenojejunal bypass. (SG-DJB) Also, a new multi degree-of-freedom (DOF) articulating device, the ArtiSential® device (LivsMed, Seongnam, Korea), emerged to assist scrupulous control during laparoscopic surgeries. Here, we present ten cases of utilizing this device for severely obese patients undergoing SG-DJB. Materials and Methods Between May 2020 and August 2021, we performed laparoscopic SG-DJB using the laparoscopic articulating instruments, ArtiSential® device (LivsMed, Seongnam, Korea) for ten severely obese patients. We used the ArtiSential dissector for tunneling under the duodenum and the ArtiSential needle-holder for performing duodenojejunal anastomosis. Results All operations were successfully completed by laparoscopy. There was one morbidity case, in which the patient underwent the postoperative bleeding from a branch of gastroduodenal artery. There was no mortality. Conclusion Even though the operator had no experience in sleeve gastrectomy plus DJB, it was feasible to perform this operation using ArtiSential device. However, to reach the standardization of this procedure, laparoscopic articulating instruments need to be evolved for easy application.