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Almino CARDOSO RAMOS

Gastro Obeso Center
São Paulo, Brazil
MD, MSc, PhD, FACS, FASMBS, IFSO EB
989 likes
33.1K views
6 comments
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Laparoscopic sleeve gastrectomy for morbid obesity in a superobese woman
Laparoscopic sleeve gastrectomy has become a genuine morbid obesity procedure. Its frequency of use is quickly increasing as compared to other interventions. The rationale for such a success stems from the fact that the procedure is easy to perform, and weight loss is comparable to laparoscopic Roux-en-Y gastric bypass at least during the first three years. Its main immediate postoperative complication is the occurrence of fistula at the superior part of the cardia. Remotely, increased gastroesophageal reflux and strictures at the middle part of the stomach (at the incisura) can be observed. Although the technique seems easy, it should be performed in an extremely rigorous fashion to minimize complications. This video demonstrates the performance of a stepwise sleeve gastrectomy. Authors lay special emphasis on the entire steps which allow to reduce the risk of complications.
A Cardoso Ramos, M Galvao Neto
Surgical intervention
5 years ago
6396 views
82 likes
0 comments
19:26
Laparoscopic sleeve gastrectomy for morbid obesity in a superobese woman
Laparoscopic sleeve gastrectomy has become a genuine morbid obesity procedure. Its frequency of use is quickly increasing as compared to other interventions. The rationale for such a success stems from the fact that the procedure is easy to perform, and weight loss is comparable to laparoscopic Roux-en-Y gastric bypass at least during the first three years. Its main immediate postoperative complication is the occurrence of fistula at the superior part of the cardia. Remotely, increased gastroesophageal reflux and strictures at the middle part of the stomach (at the incisura) can be observed. Although the technique seems easy, it should be performed in an extremely rigorous fashion to minimize complications. This video demonstrates the performance of a stepwise sleeve gastrectomy. Authors lay special emphasis on the entire steps which allow to reduce the risk of complications.
Laparoscopic simplified gastric bypass
Laparoscopic gastric bypass is currently the gold standard in bariatric surgery. This procedure is complex and yet, it can be perfectly standardized in order to shorten the learning curve. This video presents a well-standardized and easily reproducible technique. All operative steps have been systematized and unroll very naturally. Once the gastric pouch has been divided, the gastrojejunal anastomosis is performed by means of a linear stapler by calibrating a 3cm pouch. The jejunojejunal anastomosis is performed using a 45mm long linear stapler without any division of the alimentary loop. Consequently, it is easy to control the patency of the two anastomoses. Mesenteric defects are closed to avoid internal hernias. Reproducibility is the main advantage of this technique, which has been used by operators to train more than 700 surgeons in South America, Europe, and Asia.
M Galvao Neto, A Cardoso Ramos, M Vix, J Marescaux
Surgical intervention
7 years ago
5111 views
63 likes
0 comments
25:24
Laparoscopic simplified gastric bypass
Laparoscopic gastric bypass is currently the gold standard in bariatric surgery. This procedure is complex and yet, it can be perfectly standardized in order to shorten the learning curve. This video presents a well-standardized and easily reproducible technique. All operative steps have been systematized and unroll very naturally. Once the gastric pouch has been divided, the gastrojejunal anastomosis is performed by means of a linear stapler by calibrating a 3cm pouch. The jejunojejunal anastomosis is performed using a 45mm long linear stapler without any division of the alimentary loop. Consequently, it is easy to control the patency of the two anastomoses. Mesenteric defects are closed to avoid internal hernias. Reproducibility is the main advantage of this technique, which has been used by operators to train more than 700 surgeons in South America, Europe, and Asia.