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Aktokmakyan et al. Mini-invasive Surg 2020;4:23 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2019.72

Technical Note Open Access

Technical details of laparoscopic sleeve
gastrectomy

Talar Vartanoglu Aktokmakyan , Ozgun Gungor , Aziz Sumer 3
2
1
1 Department of General Surgery, Istanbul Bagcilar Training and Research Hospital, Istanbul 34000, Turkey.
2 Department of General Surgery, Memorial Hospital, Antalya 07000, Turkey.
3 Department of General Surgery, Gaziosmanpasa Medicalpark Hospital, Faculty of Medicine, Istinye University, Istanbul 34000,
Turkey.

Correspondence to: Dr. Talar Vartanoglu Aktokmakyan, Department of General Surgery, Bagcilar Training and Research Hospital,
Istanbul 34000, Turkey. E-mail: talarim@gmail.com

How to cite this article: Aktokmakyan TV, Gungor O, Sumer A. Technical details of laparoscopic sleeve gastrectomy. Mini-
invasive Surg 2020;4:23. http://dx.doi.org/10.20517/2574-1225.2019.72
Received: 29 Dec 2019 First Decision: 6 Feb 2020 Revised: 12 Feb 2020 Accepted: 18 Feb 2020 Published: 10 Apr 2020

Science Editor: Wah Yang Copy Editor: Jing-Wen Zhang Production Editor: Jing Yu

Abstract

Obesity is an expanding threat globally. Several surgical procedures have been developed to achieve the best
outcomes in obesity. One of them is laparoscopic sleeve gastrectomy that was first applied in 1999 to initiate
weight loss in overweight patients. Laparoscopic sleeve gastrectomy is a restrictive bariatric technique consisting
of subtotal partial vertical gastrectomy with the preservation of the pylorus, and a gastric tube is created as a
continuation of the esophagus along the lesser curvature with the resection of the fundus, corpus, and antrum.
Although this technique is routinely-applied all over the world, the technical details are still controversial. This
review aims to define the tips and tricks for the sleeve gastrectomy technique and discuss the controversial subjects
in this technique.

Keywords: Bariatric Surgery, obesity, sleeve gastrectomy, technique

INTRODUCTION
Obesity is an expanding threat to the health of populations around the world. According to the National
Health and Nutrition Examination Survey, the incidence of obesity was 39.8% in adults and 18.5% in youth
[1]
in the United States between 2015 and 2016 .

© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
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