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Laparoscopic Sleeve Gastrectomy

Ozanan R Meireles, MD, Julia Saraidaridis, MD
Massachusetts General Hospital
  1. Introduction
  2. Port Placement
    1. Biopsy Liver
    2. Insert Liver Retractor
  3. Sleeve Gastrectomy
    1. Identify Anatomy
    2. Dissect Greater Curvature of Stomach
    3. Expose Left Crus and Gastroesophageal Junction
    4. Staple and Transect Stomach
    5. Remove Specimen with Endocatch Bag
  4. Hemostasis and Closure
    1. Gastroscopy
    2. Test Staple Line for Leaks (Insufflation Under Saline)
    3. Staple Line Hemostasis
    4. Close Port Sites
  5. Debrief