with Dr. Antonio M. Lacy
Dr. Antonio M. Lacy performs a Sleeve Gastrectomy in a Severe Obesity Patient
Case Record:
44 y.o. patient diagnosed with morbid obesity. The patient has an BMI of 51 with no symptoms of gastroesophageal reflux disease. The patient was proposed for bariatric surgery and a sleeve gastrectomy was performed.
Clinical History:
Clinical Background
44 y.o. female patient diagnosed with morbid obesity, with a BMI of 51.
Associated comorbidities: Type 2 Mellitus Diabetes treated with oral anti diabetic drugs and hypertension
No clinical gastroesophageal reflux disease
Proposed for a sleeve gastrectomy
Technique Description
Procedure Steps:
Patient in supine position, open arms and legs, reverse Trendelenburg
Pneumoperitoneum creation
Laparoscopic ports placement
Marking of the inferior point of the dissection, 5 cm from the pylorus in the greater curvature
Dissection of the omentum
Revision of retro gastric surface
Introduction of a 32 French bougie for gastrectomy calibration
Transection the stomach with Panther 60 mm
Stapling line coagulation control with hemo-clips
Epiplon fixing to the remnant stomach
Extraction of the removed stomach
Closure of ports incisions
Learning Points:
Correct selection of the point for starting dissection
Liberation of the His Angle
Stapling line hemostatic control
Selecting the correct endostapler
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