Analyze the application experience of anchor umbilical plastic suturing technique in transumbilicallaparoendoscopic single site bariatric surgery, to explore the techniques of umbilical incision and aesthetic suturing.

A retrospective analysis was conducted on the data of umbilical incision and cosmetic suture techniques used in 85 successful single-incision laparoscopic bariatric surgeries performed by the Department of Gastrointestinal Surgery at the Quanzhou Hospital Affiliated to Fujian Medical University from January 2024 to January 2025. Among these cases, 32 patients underwent direct suture technique, while 53 patients used the anchor umbilical plastic suture technique. The unconditional binary logistic regression model was used for statistical analysis.

The time taken for the incision and suture operations of the umbilical incisions was similar between the two groups. After a 6-month follow-up, a total of 10 cases experienced peroperative incision complications, including fat liquefaction, infection and dehiscence. 6 cases were in the direct suture group and 4 cases were in the anchor-based suture group. No patient in either group developed incisional hernia. A total of 12 cases were dissatisfied with the umbilical reshaping, with 8 cases in the direct suture group and 4 cases in the anchor-based suture group. Multivariate logistic regression analysis revealed that patients with type 2 diabetes were more likely to experience umbilical incision complications, and the anchor umbilical plastic suture technique could reduce the incidence of umbilical incision complications.

The anchor umbilical plastic surgery technique is simple,safe,reliable,and aesthetically pleasing when applied to the suture of umbilical incisions in obese patients.It is worth promoting in transumbilicallaparoendoscopic single site bariatric surgery.