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Laparoscopic sleeve gastrectomy

  1. Placing the trocars

    Placing the trocars

    Position the camera trocar in the left upper quadrant, ensuring a minimum distance of 15 cm from the xiphoid.

    Insert another two 12 mm trocars in the median epigastrium and inferior to the right costal margin. Place a 5 mm trocar high up in the median epigastrium.

  2. Mobilising the greater curvature I; skeletonising distad:

    Video
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    Skeletonise the greater curvature of the stomach by transecting the gastrocolic ligament close to the gastric wall while preserving the gastroepiploic arteries. Perform the dissection with the Ultracision, starting at the inferior gastric body and proceeding distad, ending 3-5 cm proximal to the pylorus. In doing so, open the lesser sac and take down any adhesions to the pancreas.

Mobilizing the greater curvature II; skeletonizing proximad:

In this way, the entire greater curvature of the stomach is released. Divide the connection to the

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general and visceral surgery

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general and visceral surgery

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