Single Port or Single Access Bariatric Surgery
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.
Endoscopic plication is similar in concept to the idea of gastric plication, except that folding the stomach is done from the inside of the stomach using a flexible gastroscope. There are many companies that have developed endoscopic pilcators. The most promising device is the POSE™ (Primary Obesity Surgery, Endoluminal).
Robotic Bariatric Surgery
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 offers robotic bariatric surgery for patients who are interested at the Clemenceau Medical Center (CMC) in Beirut, Lebanon