Laparoscopic sleeve gastrectomy
Epublication WebSurg.com, Oct 2005;05(10). URL: http://websurg.com/doi/vd01en1853
This video demonstrates a routine case of laparoscopic sleeve gastrectomy for morbid obesity. This is usually the first stage of a two-stage procedure. The surgeon starts at the mid portion of crow's foot about 7 cm from the pylorus and mobilizes all the greater curvature vessels and attachments using bipolar cautery. After full mobilization of the greater curvature up to the angle of His, the gastric sleeve is constructed using a linear stapler. A bougie is used to calibrate the diameter of the gastric sleeve. The specimen is removed from an enlarged trocar site. The surgeon in this case placed a drain.