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

Area of Science:

• Bariatric Surgery
• Minimally Invasive Procedures
• Gastrointestinal Surgery

Context:

• Laparoscopic sleeve resection (LSR) is gaining popularity despite limited long-term data on morbidity and mortality.
• General principles of laparoscopic surgery are crucial for successful outcomes.

Purpose:

• To describe the operative technique and indications for laparoscopic sleeve resection.
• To highlight critical surgical steps for optimal results.

Summary:

• The technique emphasizes complete liberation of the dorsal stomach, avoiding crossing staple lines, and managing intraoperative leaks.
• Utilizing a 32 Fr bougie achieves a residual stomach volume of 80-100 ml.
• Proper technique and follow-up can lead to approximately 60% excess weight loss within the first postoperative year.

Impact:

• Provides a guide for performing laparoscopic sleeve resection safely and effectively.
• Aims to improve patient outcomes and excess weight loss following bariatric surgery.
• Contributes to the understanding of a widely adopted bariatric procedure.