Laparoscopic sleeve gastrectomy technique: How we do it

Özet

A total of 1002 bariatric procedures were performed at our clinic between March 2006 and December 2016.The laparoscopic Roux-en-Y gastric bypass (LRYGB) technique was performed on 833 patients. Three ofthe LRYGB procedures were revisions of a previous laparoscopic sleeve gastrectomy (LSG). In 169 patients,the sleeve gastrectomy technique was used. One procedure was performed via laparotomy, but the otherswere performed laparoscopically. Six patients’ sleeve gastrectomy lines were transected and sutured usinga laparoscopic needle holder, while the others were closed with a stapling device. Ileojejunal bypass wasadded in 21 of the LSG procedures. This clinic’s experience with morbid obesity surgery began with opengastric bypass surgery and later evolved into use of the LRYGB method. Sleeve gastrectomy, which is popular in this country and around the world, has been performed since July 2014 (handmade as of May). Thisarticle describes some of the nuances and subtleties of the LSG technique.