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Abstract

Background: Obesity is a global health issue, with laparoscopic sleeve gastrectomy (LSG) emerging as a key surgical intervention. The use of a four-port approach in LSG is prevalent, yet it necessitates an evaluation of its safety and the scope of postoperative complications.
Objective: This study aims to evaluate the complications associated with the use of four ports in laparoscopic sleeve gastrectomy.
Methods: Conducted at Mumtaz Surgimed Hospital in Vehari, Punjab, this descriptive study involved thirty patients undergoing LSG with a four-port approach from May 1st to October 30th, 2023. The study assessed postoperative complications, with patients' BMI, comorbidities, and demographic data also considered.
Results: Participants had a mean age of 48.53 ± 5.91 years, with females comprising 63.3% and males 36.7%. Postoperative complications included gastroesophageal reflux disease (GERD) in 5 patients (16.7%), dyspepsia in 4 (13.3%), pulmonary issues in 2 (6.7%), bleeding in 3 (10%), and gastric stenosis in 1 (3.3%). There was a notable reduction in BMI from 47.69 ± 4.24 kg/m² to 40.03 ± 3.31 kg/m².
Conclusion: The four-port laparoscopic sleeve gastrectomy is a relatively safe surgical option for obesity treatment, with a low incidence of postoperative complications.