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Laparoscopic Sleeve Gastrectomy: How Do I Do It.

Mariano Palermo1, Edgardo Serra1

  • 1Division of Bariatric Surgery, DIAGNOMED, Affiliated Institution of the University of Buenos Aires, Buenos Aires, Argentina.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|August 1, 2019
PubMed
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Laparoscopic sleeve gastrectomy (LSG) offers durable weight loss and is a safe bariatric procedure. This technique emphasizes surgeon training and specific calibration methods for optimal outcomes.

Area of Science:

  • Bariatric Surgery
  • Minimally Invasive Procedures
  • Gastrointestinal Surgery

Background:

  • Laparoscopic sleeve gastrectomy (LSG) is the world's most frequent bariatric surgery.
  • LSG is recognized for its safety, efficacy, and sustained weight loss.
  • The complexity of LSG necessitates specialized surgical training.

Purpose of the Study:

  • To detail a step-by-step technique for performing sleeve gastrectomy (SG).
  • To highlight key elements for a safer SG procedure.
  • To underscore the importance of specialized training for bariatric surgeons.

Main Methods:

  • Standardized surgical technique for LSG.
  • Utilizing a minimum 36Fr bougie for calibration.
  • Maintaining specific distances from the pylorus (4-5 cm) and esophagus (~1 cm).
Keywords:
bariatric surgerylaparoscopyobesitysleeve gastrectomy

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  • Routine reinforcement of the staple line with continuous suture.

    • Main Results:

    • The described technique aims to enhance the safety of LSG.
    • Staple line reinforcement contributes to procedural safety.
    • Adherence to calibration and distance guidelines is crucial.

    Conclusions:

    • LSG is a safe and effective primary bariatric procedure.
    • Durable weight loss is achievable with LSG.
    • LSG should exclusively be performed by bariatric surgery-trained surgeons.