OBJECTIVE: An experience with laparoscopic sleeve gastrectomy using the natural orifice specimen extraction (NOSE) technique. BACKGROUND: Bariatric surgery is nowadays the only long term effective @entity28 treatment method. METHODS: Twenty one consecutive @entity1 underwent laparoscopic sleeve gastrectomy with the use of natural orifice specimen extraction (NOSE) in the Surgical Clinic of Faculty Hospital Ostrava between May 2012 and August 2012. Inclusion criteria were the body mass index (BMI) higher than 35 kg/m2 or higher than 32 kg/m2 accompanied with relevant comorbidities. RESULTS: Among 21 @entity1 in this series, there were three @entity1 (14.3 %) and 18 @entity1 (85.7 %). Their mean age was 40.9    10.2 years. Their mean preoperative BMI was 40.4    4.6 kg/m2. No @entity1 had previous bariatric surgery, one @entity1 had laparoscopic fundoplication. All operations were completed laparoscopically with no conversions to an open procedure. In two cases, laparoscopic cholecystectomy was performed and the gallbladder was extracted along with the gastric specimen by transgastric approach. CONCLUSION: Laparoscopic sleeve gastrectomy is a safe and effective bariatric procedure with low morbidity and mortality. Based on our initial experiences it could be an indication for NOSE with transgastric approach. @entity28 @entity1 would benefit from this approach due to the elimination of wound complications (Tab. 2, Fig. 3, Ref. 22).

Laparoscopic sleeve gastrectomy for morbid XXXX with natural orifice specimen extraction (NOSE).

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'men'] @entity28 :: ('MESH:D009765', 'Disease') :: ['Obese', 'obesity']
@entity28 :: (MESH:D009765,Disease) :: ['obesity']
