Laparoscopic Sleeve Gastrectomy: Ensuring Safety and Achieving an Aesthetic Gastric Tube Shape

Abstract

Sleeve gastrectomy was first performed in Korea in the 2000s, and its frequency has gradually increased thereafter. It is now the most commonly performed procedure for bariatric surgery today. However, there are few detailed reports on this surgical method, and, in particular, no papers that include accompanying videos. Herein, we present the case of a 29-year-old male with a preoperative body mass index of 44 kg/m2, who also had hypertension and hyperlipidemia. A conventional laparoscopic sleeve gastrectomy was performed using a 5-port technique. The surgeon employed two methods to ensure a consistent and aesthetic gastric tube, as well as patient safety: the non-tension method and a Lembert suture on the staple line at the neo–greater curvature. By utilizing the aforementioned two tips effectively, even inexperienced surgeons can perform laparoscopic sleeve gastrectomy relatively safely and effectively.