Laparoscopic sleeve gastrectomy for morbid obesity in a superobese woman
Epublication WebSurg.com, Dec 2013;13(12). URL: http://websurg.com/doi/vd01en3924
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.