TECHNICAL ASPECTS OF LAPAROSCOPIC SLEEVE GASTRECTOMY

Background : The vertical gastrectomy indications for surgical treatment of morbid obesity have increased worldwide. Despite this increase, many aspects of surgical technique still remains in controversy. Aim : To contribute presenting surgical details in order to better realize the vertical gastrec...

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Published in:Arquivos brasileiros de cirurgia digestiva : ABCD 2015-01, Vol.28 (suppl 1), p.65-68
Main Authors: RAMOS, Almino Cardoso, BASTOS, Eduardo Lemos de Souza, RAMOS, Manoela Galvão, BERTIN, Nestor Tadashi Suguitani, GALVÃO, Thales Delmondes, LUCENA, Raphael Torres Figueiredo de, CAMPOS, Josemberg Marins
Format: Article
Language:English
Subjects:
Gastrectomy
Laparoscopy
Morbid obesity
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Summary:Background : The vertical gastrectomy indications for surgical treatment of morbid obesity have increased worldwide. Despite this increase, many aspects of surgical technique still remains in controversy. Aim : To contribute presenting surgical details in order to better realize the vertical gastrectomy technique in bariatric surgery. Methods : Technical systematization, patient preparation, positioning of the trocars, operative technique and postoperative care are presented in details. Results : During 12 months were enrolled 120 patients undergoing GV according to the technique described herein. The results are published in another ABCD article (ABCD 2015;28(Supl.1):61-64) in this same volume and number. Conclusion : The surgical technique proposed here presented itself viable and facilitating the surgeon's work on difficult points of the vertical gastrectomy. Racional : As indicações da gastrectomia vertical no tratamento cirúrgico da obesidade mórbida têm aumentado no mundo todo. Apesar deste aumento, diversos aspectos relativos à técnica operatória têm sido controversos. Objetivo : Contribuir com detalhes cirúrgicos afim de melhor a técnica da gastrectomia vertical na cirurgia bariátrica. Métodos : A sistematização técnica, o preparo do paciente, o posicionamento dos trocárteres, a técnica operatória e cuidados do pós-operatório são apresentados em detalhes. Resultados : Durante 12 meses foram incluídos 120 pacientes submetidos à GV de acordo com a técnica aqui descrita. Os resultados estão publicados em outro artigo do ABCD (ABCD 2015;28(Supl.1):61-64) neste mesmo volume e número. Conclusão : A técnica cirúrgica aqui proposta apresentou-se viável facilitando o trabalho do cirurgião em pontos difíceis da gastrectomia vertical.
ISSN:0102-6720
0102-6720
2317-6326
DOI:10.1590/S0102-6720201500S100018