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Laparoscopic sleeve gastrectomy for morbid obesity: a stepwise approach

M Vix, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Feb 2009;09(02). URL: http://websurg.com/doi/vd01en2511

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Laparoscopic sleeve gastrectomy (SG) was first described in 1999 as part of the biliopancreatic diversion-duodenal switch (BPD-DS) procedure. Subsequently, laparoscopic SG has been performed as a stand-alone procedure or as part of a staged surgical approach, with the intention of completing the BPD-DS at a later date. This procedure is relatively easier to learn, easier to teach and its initial results are comparable to the gastric bypass in terms of excess body weight loss. We show here a standard 5 port technique for an obese woman with a BMI of 41.