[Sleeve gastrectomy--technique, safety, success, trends]

Despite the lack of sufficient data concerning the long-time results,the morbidity, and the mortality of laparoscopic sleeve resection, this operation is performed with growing enthusiasm.However, general principles of laparoscopic surgery need to be observed to ensure good results. This article describes an operative technique and indication for the operation.Attention must be turned on the complete liberation of the dorsal aspect of the stomach, the absence of crossing staple lines, and the competent handling of intraoperative leakages.The use of a 32 Fr bougie results in a residual stomach volume of about 80-100 ml. Due to a good operative technique and a competent follow-up, excess weight loss (EWL)of about 60% can be achieved within the first postoperative year.