This video demonstrates Sleeve gastrectomy, also called a vertical sleeve gastrectomy, is a surgical weight-loss procedure. This procedure is typically performed laparoscopically, which involves inserting small instruments through multiple small incisions in the upper abdomen.

Laparoscopic Sleeve Gastrectomy (LSG) is one of the most advanced and commonly performed bariatric (weight-loss) procedures in modern minimally invasive surgery. At World Laparoscopy Hospital (WLH), this procedure is delivered with a strong focus on patient safety, surgical precision, and evidence-based outcomes, reflecting the institution’s commitment to advanced laparoscopic care, research, and training excellence.

Introduction to Laparoscopic Sleeve Gastrectomy

Laparoscopic Sleeve Gastrectomy is a surgical weight-loss procedure in which approximately 70–80% of the stomach is removed, leaving a narrow, tube-shaped stomach similar to the shape of a banana. The surgery is usually performed laparoscopically using small incisions and specialized instruments, allowing faster recovery and less postoperative pain.

The procedure works mainly by:

• Restricting the amount of food intake

• Reducing hunger hormones produced by the stomach

• Supporting long-term metabolic improvement

These mechanisms help patients achieve sustainable weight loss and improvement in obesity-related health conditions.

World Laparoscopy Hospital: Center of Excellence

World Laparoscopy Hospital is an internationally recognized academic medical institute established to provide advanced surgical treatment along with training and research in minimal access surgery. The hospital focuses on high-quality patient care, innovation, and standardized surgical education.

Key strengths include:

• Advanced minimally invasive surgical infrastructure

• Experienced laparoscopic surgeons and multidisciplinary teams

• Patient-centered care aligned with international standards

• Integration of clinical care, education, and research

This combination ensures safe and effective bariatric surgery outcomes.

Indications for Sleeve Gastrectomy

LSG is generally recommended for:

• Patients with severe obesity

• Individuals with obesity-related diseases such as diabetes, hypertension, or sleep apnea

• Patients who failed to achieve weight loss with diet and medical therapy

The surgery helps reduce long-term risks of serious health problems such as heart disease, stroke, and type 2 diabetes.

Surgical Procedure Overview

The laparoscopic sleeve gastrectomy procedure typically includes:

1. Anesthesia and Preparation

The patient is placed under general anesthesia, and small incisions are made in the abdomen for laparoscopic instruments.

2. Stomach Mobilization

The greater curvature of the stomach is carefully dissected.

3. Stomach Resection

About 75–80% of the stomach is removed using surgical staplers, leaving a tubular stomach.

4. Leak Test and Closure

The staple line is tested for leaks and secured before closing the incisions.

The surgery is simpler than gastric bypass because it does not involve intestinal rerouting.

Advantages of Laparoscopic Sleeve Gastrectomy

1. Significant Weight Loss

Patients may lose 40–70% of excess body weight within the first year, depending on lifestyle changes.

2. Improvement in Comorbidities

Conditions such as diabetes, hypertension, and sleep apnea often improve significantly.

3. Minimally Invasive Approach

• Small scars

• Less postoperative pain

• Faster recovery and early return to normal activity

4. No Intestinal Bypass

The digestive pathway remains natural, reducing some nutritional complications seen in bypass surgery.

Risks and Possible Complications

Like all major surgeries, LSG carries potential risks:

Short-Term Risks

• Bleeding

• Infection

• Staple line leak

• Blood clots

• Anesthesia complications

Long-Term Risks

• Gastroesophageal reflux (GERD)

• Nutritional deficiencies

• Stomach narrowing

• Weight regain if lifestyle changes are not followed

However, serious complications are relatively uncommon when performed in experienced centers.

Preparation Before Surgery

Patients typically undergo:

• Medical evaluation and blood tests

• Nutritional and psychological counseling

• Pre-operative diet planning

• Medication adjustments before surgery

Proper preparation improves surgical outcomes and recovery.

Postoperative Care and Lifestyle Changes

Long-term success after sleeve gastrectomy depends heavily on lifestyle changes, including:

• Healthy diet and portion control

• Regular physical activity

• Vitamin and mineral supplementation

• Regular medical follow-up

Surgery is a tool, and sustained weight loss requires lifelong commitment to healthy habits.

Why Choose World Laparoscopy Hospital for LSG?

Patients choose WLH because of:

• Expertise in advanced laparoscopic techniques

• Standardized protocols and safety measures

• Multidisciplinary patient support

• Global reputation in minimally invasive surgery training and treatment

Conclusion

Laparoscopic Sleeve Gastrectomy is a highly effective, minimally invasive surgical solution for obesity and related metabolic diseases. When performed at specialized centers like World Laparoscopy Hospital, patients benefit from advanced technology, expert surgical teams, and comprehensive perioperative care. With proper patient selection and strong commitment to lifestyle modification, LSG can significantly improve health, quality of life, and long-term survival.