Comparison of Early Results of Aesthetic Focused Bikini-Line Sleeve Gastrectomy and Standard Laparoscopic Sleeve Gastrectomy.
| Title: | Comparison of Early Results of Aesthetic Focused Bikini-Line Sleeve Gastrectomy and Standard Laparoscopic Sleeve Gastrectomy. |
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| Authors: | Bilecik T; Department of Surgery, Acıbadem Adana Hospital, Adana, Turkey. tunabilecik@gmail.com.; Taşkın HE; Department of General Surgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.; Habibi M; Department of General Surgery, Lara Anatolia Hospital, Antalya, Turkey. |
| Source: | Obesity surgery [Obes Surg] 2026 Feb; Vol. 36 (2), pp. 628-638. Date of Electronic Publication: 2026 Jan 02. |
| Publication Type: | Journal Article; Comparative Study |
| Language: | English |
| Journal Info: | Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9106714 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1708-0428 (Electronic) Linking ISSN: 09608923 NLM ISO Abbreviation: Obes Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2006- : New York : Springer Science + Business Media; Original Publication: Oxford, OX, UK : Rapid Communications of Oxford, [1991- |
| MeSH Terms: | Gastrectomy*/methods ; Gastrectomy*/adverse effects ; Laparoscopy*/methods ; Obesity, Morbid*/surgery; Postoperative Pain/epidemiology ; Length of Stay/statistics & numerical data ; Humans ; Female ; Retrospective Studies ; Male ; Adult ; Middle Aged ; Treatment Outcome ; Weight Loss ; Operative Time ; Esthetics ; Patient Satisfaction ; Cicatrix |
| Abstract: | Background: The Bikini-line sleeve gastrectomy is a modification of standard laparoscopic sleeve gastrectomy designed primarily to improve aesthetic outcomes by relocating trocars to the lower abdomen. It offers aesthetic advantages without additional metabolic or functional benefit.; Purpose: The study compared early clinical outcomes, pain, scar satisfaction, and post-operative pain between Bikini-line sleeve gastrectomy and standard laparoscopic sleeve gastrectomy.; Materials and Methods: This retrospective cohort study of 364 patients: 216 in laparoscopic sleeve gastrectomy and 148 in bikini line sleeve gastrectomy operated from January 2023 to December 2023. Demographics, operating time, length of hospital stay, excess weight loss, pain scores, scar satisfaction, and complications have been assessed. Patients with BMI ≥ 30 kg/m² with T2DM, BMI 35-39.9 kg/m² with comorbidities, and BMI ≥ 40 kg/m² were included. However, patients with a progressive history of a major open abdominal surgery, persistent hiatal hernia of more than 4 cm, and patients who refused to use the bikini-line method were excluded. The study applied the Kolmogorov-Smirnov test to ascertain the normality of the data. Student's t-test was used for normally distributed variables, and the Mann-Whitney U test for non-normally distributed ones. Chi-square and Fisher exact tests ensured stable examination of operative time, pain, scar satisfaction, EWL, and complications.; Results: The laparoscopic sleeve gastrectomy group had a higher preoperative BMI (42.49 ± 6.19 vs. 38.52 ± 4.72, p |
| Competing Interests: | Declarations. Competing interests: The authors declare no competing interests. |
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| Contributed Indexing: | Keywords: Bariatric surgery; Gastrectomy; Laparoscopy; Postoperative pain; Surgical scars |
| Entry Date(s): | Date Created: 20260103 Date Completed: 20260307 Latest Revision: 20260307 |
| Update Code: | 20260308 |
| DOI: | 10.1007/s11695-025-08448-6 |
| PMID: | 41483043 |
| Database: | MEDLINE |
Journal Article; Comparative Study