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Figure 1. Schematic illustration of steps of sleeve gastrectomy with SLEEVE-DOR anterior 180° Fundoplication. Stapling pattern leaving
3 cm of gastric fundus for anterior fundoplication. SLEEVE-DOR: 180-degree anterior fundoplication.
Figure 2. Schematic illustration, fixation of the 180° wrap to the right crus and anterior gastric wall with one nonabsorbable 2-0 V-Loc
suture.
Robotic SLEEVE-DOR procedure with DaVinci Xi
The position and anesthetic procedure were the same for the robotic technique. The DaVinci robotic arms
were docked after placing two 8 mm and one 12 mm DaVinci trocars under direct vision. The left 12 mm
site was used to perform the stapling with DaVinci stapler (Sureform) using green and blue cartridges. A
flap of 4 cm of gastric fundus was left to perform the anterior fundoplication, which was performed with the
same technique described. In cases of hiatal hernia, these were repaired using a nonabsorbable V-Loc 2-0
suture.
