Related Experiment Video
Updated: Jun 25, 2026
10:05
Techniques of Sleeve Gastrectomy and Modified Roux-en-Y Gastric Bypass in Mice
Published on: March 20, 2017
The "Tip-Stitch": a time-saving technique for specimen extraction in sleeve gastrectomy
Joshua B Alley1, Stephen J Fenton, Richard M Peterson
1Department of Surgery, Wilford Hall USAF Medical Center, Lackland AFB, San Antonio, TX, USA. joshua.alley@us.af.mil
Obesity Surgery
|February 25, 2009
Summary
A new "Tip-Stitch" technique simplifies gastric specimen retrieval after laparoscopic sleeve gastrectomy. This method allows for intact specimen extraction without enlarging the standard 15-mm trocar site, improving surgical efficiency.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Surgical Techniques
Background:
- Laparoscopic sleeve gastrectomy is a popular bariatric procedure with effective weight loss outcomes.
- Specimen extraction after sleeve gastrectomy can be difficult and time-consuming.
- Current methods often require enlarging port sites for specimen removal.
Purpose of the Study:
- To introduce and evaluate the
- Tip-Stitch
- technique for gastric specimen retrieval.
- To assess the safety and efficacy of this novel extraction method.
Main Methods:
- The
- Tip-Stitch
- technique involves suturing the distal tip of the gastric specimen.
- This allows for controlled retrieval through a 15-mm trocar site without enlargement.
- A small series of sleeve gastrectomies utilized this method.
Main Results:
- The
- Tip-Stitch
- technique facilitated straightforward specimen extraction.
- No wound infections were observed in the series.
- Fascial incision enlargement was rarely necessary.
Conclusions:
- The
- Tip-Stitch
- technique provides a reliable and efficient method for intact gastric specimen retrieval.
- This approach minimizes the need to enlarge trocar incisions during laparoscopic sleeve gastrectomy.
