Palermo Mariano, Serra Edgardo
Division of Bariatric Surgery, DIAGNOMED, Affiliated Institution of the University of Buenos Aires, Buenos Aires, Argentina.
J Laparoendosc Adv Surg Tech A. 2020 Jan;30(1):2-5. doi: 10.1089/lap.2019.0452. Epub 2019 Jul 31.
Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure in the world. LSG is a safe and effective primary bariatric procedure with durable weight loss. We believe LSG should not be called "easy" and should be performed only by surgeons trained in bariatric surgery. We describe the technique, step by step, we use to perform a sleeve gastrectomy (SG). The highlights of a safer SG systematization are based on minimum 36Fr bougie calibration, starting 4-5 cm from the pylorus, keeping ∼1 cm distance from esophagus. We routinely use staple line reinforcement by continuous suture. LSG is a safe and effective primary bariatric procedure with durable weight loss. It should be performed only by surgeons trained in bariatric surgery.
腹腔镜袖状胃切除术（LSG）是全球最常施行的减肥手术。LSG是一种安全有效的原发性减肥手术，能实现持久的体重减轻。我们认为LSG不应被称为“简单”手术，且仅应由接受过减肥手术培训的外科医生来施行。我们逐步描述了我们施行袖状胃切除术（SG）所采用的技术。更安全的SG系统化操作要点基于至少36F探条校准，从幽门上方4 - 5厘米处开始，与食管保持约1厘米的距离。我们常规通过连续缝合加强吻合钉线。LSG是一种安全有效的原发性减肥手术，能实现持久的体重减轻。它仅应由接受过减肥手术培训的外科医生来施行。
