This video demonstrate laparoscopic sleeve gastrectomy full length video step by step performed by Dr R K Mishra at World Laparoscopy Hospital. The Sleeve Gastrectomy procedure, commonly referred to as the Vertical Sleeve Gastrectomy, Vertical Gastrectomy or Gastric Sleeve, is a newer restrictive procedure where the majority of the stomach is removed, leaving a long tubular structure from the esophagus to the small intestine. The procedure is technically simpler than a gastric bypass because it does not bypass any of the intestinal tract. There is no foreign material left within the abdomen. The risk of nutritional deficiency is lower compared to operations that bypass part of the gastrointestinal tract. The recovery time after sleeve gastrectomy surgery resembles that of the gastric bypass. Hospital stay is typically one night after surgery and most patients are able to go home the following day. Many patients who have sedentary jobs return to work within 2-4 weeks. Patients with jobs that require more physical effort may be out of work for 4-6 weeks.

In the evolving field of bariatric surgery, Sleeve Gastrectomy has emerged as one of the most effective procedures for long-term weight loss and metabolic improvement. With the rise of minimally invasive techniques, surgeons and patients alike are seeking comprehensive resources to understand the procedure. A full-length step-by-step video provides an invaluable visual guide for this complex operation.

What is Sleeve Gastrectomy?

Sleeve Gastrectomy, also known as vertical sleeve gastrectomy (VSG), is a laparoscopic weight-loss surgery in which approximately 75–80% of the stomach is removed. The remaining portion is shaped like a slender sleeve, which restricts food intake and reduces hunger hormones like ghrelin. This procedure is often recommended for patients with obesity, metabolic syndrome, or diabetes.

Importance of a Full-Length Surgical Video

While textual descriptions and diagrams are informative, a step-by-step video offers a realistic and detailed view of the procedure, including:

• Port placement and laparoscopic setup.

• Dissection and mobilization of the stomach.

• Use of surgical staplers and techniques for creating the gastric sleeve.

• Ensuring hemostasis and avoiding complications.

• Closure and post-operative considerations.

Such videos are invaluable for surgical trainees, practicing surgeons, and medical enthusiasts who want a precise understanding of each stage.

Step-by-Step Breakdown in the Video

1. Patient Positioning and Preparation

   • Patient is placed in a supine position with proper padding and positioning of ports.

   • Pneumoperitoneum is established to safely introduce laparoscopic instruments.

2. Laparoscopic Port Placement

   • Multiple trocars are inserted strategically for optimal instrument access and visualization.

3. Dissection of the Greater Curvature

   • The surgeon carefully divides the gastrocolic ligament and mobilizes the stomach using energy devices, ensuring minimal bleeding.

4. Creating the Sleeve

   • A bougie or tube is placed to guide the size of the sleeve.

   • Sequential stapling along the stomach’s curvature forms the tubular stomach.

5. Hemostasis and Leak Testing

   • The staple line is inspected and reinforced if necessary.

   • Intraoperative leak tests are conducted to ensure safety.

6. Specimen Removal and Closure

   • The excised portion of the stomach is removed.

   • Ports are closed, and the patient is shifted to recovery.

Benefits of Watching the Full-Length Video

• Enhanced Learning: Visual demonstration of each step reinforces theoretical knowledge.

• Surgical Confidence: Surgeons gain confidence in handling critical maneuvers.

• Patient Education: Helps patients understand the procedure and recovery process.

Conclusion

A full-length step-by-step Sleeve Gastrectomy video is a powerful tool for medical education, training, and patient awareness. By observing each surgical stage, viewers gain deep insights into modern bariatric surgery techniques, enhancing both safety and outcomes.