Sleeve Gastric Resection for Morbid Obesity: It’s the Time to Revise the Surgical Technique?

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.

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Laparoscopic Sleeve Gastrectomy for Morbid obesity experience with 608 consecutive cases without leak, surgical technique and short-term outcomes

Surgery for Obesity and Related Diseases ◽

10.1016/j.soard.2017.09.257 ◽

2017 ◽

Vol 13 (10) ◽

pp. S116-S117

Author(s):

Parth Patel ◽

Charmaine Gentles ◽

Coney Bae ◽

Larry Gellman ◽

Dominick Gadaleta

Keyword(s):

Morbid Obesity ◽

Sleeve Gastrectomy ◽

Surgical Technique ◽

Laparoscopic Sleeve Gastrectomy ◽

Short Term

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377. Transcervical resection of the endometrium in early endometrial cancer: An adaptive surgical technique as an alternative in the setting of morbid obesity

European Journal of Surgical Oncology ◽

10.1016/j.ejso.2016.06.249 ◽

2016 ◽

Vol 42 (9) ◽

pp. S156-S157

Author(s):

E. Craig ◽

R. McClelland ◽

G. McCluggage

Keyword(s):

Morbid Obesity ◽

Endometrial Cancer ◽

Surgical Technique ◽

Transcervical Resection

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The Effect of Longitudinal Gastric Resection in Morbid Obesity Surgery on the Course of Insulin-Dependent Diabetes and Gastroesophageal Reflux Disease

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i60a34574 ◽

2021 ◽

pp. 977-982

Author(s):

Marat Borisovich Uzdenov ◽

Elvira Nazimovna Sherifova ◽

Sergey Ismailovich Kubanov ◽

Aila Azretovna Uyanaeva ◽

Viktoriia Sergeevna Rudiakova ◽

...

Keyword(s):

Morbid Obesity ◽

Gastric Resection ◽

Surgical Intervention ◽

Subcutaneous Fat ◽

The Elderly ◽

Holistic View ◽

Common Opinion ◽

Insulin Dependent ◽

New Type

Longitudinal resection of the stomach is a relatively new type of gastroplasty within the framework of bariatric surgery, which is gaining popularity worldwide today not only as a method of getting rid of excess subcutaneous fat, but also from a range of serious chronic diseases together. The potential of longitudinal gastric resection turned out to be promising, and if the first performed longitudinal gastric resection in 1988 was only a restrictive stage of biliopancreotic bypass surgery, then since the 2000s, laparoscopic longitudinal resection has been started as a deliberately first stage in patients with morbid obesity with high operational risk. To date, longitudinal gastric resection has become increasingly used in particularly difficult cases in the form of independent surgical intervention, for example, in the elderly, teenagers, people with cirrhosis of the liver and other severe pathologies. At the initial stages of the formation of this type of treatment, different surgeons did not have a common opinion on many issues related to the technique of this operation. And therefore, to date, the data on the longitudinal resection of the stomach of many years ago are contradictory. They do not create a holistic view of the effectiveness of surgical intervention, especially in the long term. According to IFSO (The International Federation for the Surgery of Obesity and Metabolic Disorders) data, in 2012, longitudinal gastric resection accounted for 27.8% of all bariatric operations, which even then overtook the gastric banding operation in terms of the number of operations. Over the past 20 years, a little more than 250 thousand such operations have been performed worldwide, and the frequency of performing longitudinal gastric resection increases every year. The purpose of this article is to reveal the statistics of the effectiveness of longitudinal gastric resection.

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