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Updated: Feb 5, 2026

Sleeve Gastrectomy in Mice using Surgical Clips
Published on: November 14, 2020
Physical and Mental Impact of Laparoscopic Sleeve Gastrectomy on the Surgeon: French vs. American Positions. A
José E Carmona1, Jorge A Higuerey2, Doubraska Gil2
1Policlínica Metropolitana, piso 3, consultorio 3-O, Urbanización Caurimare, Caracas, 1061, Venezuela. josecarmonag75@gmail.com.
Purpose:
To determine the physical and mental impact on the primary surgeon, by the patient's and surgical staff's dispositions at the operating table, during laparoscopic vertical sleeve gastrectomy.
Materials And Methods:
This is a randomized and controlled study that included 18 laparoscopic sleeve gastrectomy procedures performed by two surgeons in a private and academic hospital. The cases were randomized for the American or French position. After surgery, the National Aeronautics and Space Administration - Task Load Index (NASA-TLX) and the Body Part Discomfort (BPD) scales were applied to the primary surgeon.
Results:
An increased workload and more discomfort were reported when using the French position. The NASA-TLX was 28 ± 8 vs. 57 ± 18 (p = 0.001), and the BPD was 2 vs. 8 (p = 0.001).
Conclusions:
The American position resulted in a lower physical and mental impact on the surgeon when performing a laparoscopic sleeve gastrectomy.
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