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- Title
Laparoscopic Sleeve Gastrectomy: How Do I Do It.
- Authors
Palermo, Mariano; Serra, Edgardo
- Abstract
Background: Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure in the world. LSG is a safe and effective primary bariatric procedure with durable weight loss. We believe LSG should not be called "easy" and should be performed only by surgeons trained in bariatric surgery. Method: We describe the technique, step by step, we use to perform a sleeve gastrectomy (SG). Results: The highlights of a safer SG systematization are based on minimum 36Fr bougie calibration, starting 4-5 cm from the pylorus, keeping ∼1 cm distance from esophagus. We routinely use staple line reinforcement by continuous suture. Conclusions: LSG is a safe and effective primary bariatric procedure with durable weight loss. It should be performed only by surgeons trained in bariatric surgery.
- Subjects
SLEEVE gastrectomy; BARIATRIC surgery; WEIGHT loss; TRAINING of surgeons; GASTRIC banding; PYLORUS; GASTRECTOMY; LAPAROSCOPY; STAPLERS (Surgery); MORBID obesity
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2020, Vol 30, Issue 1, p2
- ISSN
1092-6429
- Publication type
journal article
- DOI
10.1089/lap.2019.0452