Article

Technical controversies in laparoscopic sleeve gastrectomy.

Department of Bariatric Surgery, Torrecárdenas Hospital, Almería, Spain.
Obesity Surgery (impact factor: 3.29). 08/2011; 22(1):182-7. DOI:10.1007/s11695-011-0492-0 pp.182-7
Source: PubMed

ABSTRACT Laparoscopic sleeve gastrectomy is a recently developed technique for treating morbid obesity. Since it is a simple procedure, many bariatric surgeons have adopted it in recent years with good results. However, there is still no standard procedure across different surgical teams. We will discuss the more controversial aspects of the surgical technique: the size of the bougie, the beginning of the distal section, the section shape at the gastroesophageal junction, the necessity and manner of reinforcing the staple line, and the routine use of intraoperative leak testing.

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Keywords

controversial aspects
 
gastroesophageal junction
 
intraoperative leak testing
 
morbid obesity
 
recent years
 
routine use
 
section shape