24 April 2024>: Articles
Laparoscopic Sleeve Gastrectomy with Staple-Line Oversewing in a Patient with Factor XI Deficiency: A Case Report
Challenging differential diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care, Congenital defects / diseases
Lorenza Beomonte Zobel A* , Sirvjo Dhimolea A , Federica Billeci A , Paolo Sbraccia A , Giuseppe S. Sica ADOI: 10.12659/AJCR.942824
Am J Case Rep 2024; 25:e942824
Video 1. The video shows the procedure described in the article: sleeve gastrectomy with staple line oversewing. Pneumoperitoneum was performed with a Veress needle in the Palmer’s point. Four-trocar technique was used. The procedure started by division of gastroepiploic vessels starting until 5 cm from the pylorus. Dissection continued toward the gastric fundus with division of short gastric vessels until visualization of the left crus of the diaphragm. A calibrating bougie (38F) was placed. A linear stapler was placed from the trocar at the right upper quadrant. Traction from the left trocar is important to clear the fundus from the gastric tube. Staple-line reinforcement is done by oversewing using continuous V-Loc 3/0 taking only the serosal layer. The methylene blue test was done. Hemostasis was achieved by bipolar electrocoagulation. The transected stomach was removed via a port on the left flank.