患者女性，30岁，BMI36.6，诊断代谢综合征。患者平卧"大"字位，头高左侧高30°，主刀右侧站位。距幽门2 cm开始紧贴胃壁游离胃大弯，充分游离胃底，显露左侧膈肌脚及食道左侧，经口置入36 F减重胃管，沿胃管距幽门4 cm开始进行袖状胃裁剪，根据胃壁厚度应用不同钉脚高度的切割闭合钉，连续全层缝合加固胃切缘，并将胃切缘复位固定于大网膜及胰腺背膜，经主操作孔取出切除的胃组织，清理腹腔，放置引流管，缝合戳卡孔。

A 30 year old female patient, who was diagnosed as metabolic syndrome with BMI of 36.6, underwent laparoscopic sleeve gastrectomy. 30° reverse Trendelenburg position was employed. The operating surgeon stood on the patient’s right side. An 36-F orogastric tube was placed before the surgery. The entire greater curve of the stomach was dissected, to expose gastric fundus and the left crus of the diaphragm. The sleeve shaped stomach was dissected along the stomach tube 4cm away from the pylorus. According to the thickness of the stomach wall, different linear staplers were used. The cutting edge of the stomach was strengthened by continuous suture. The cutting edge of the stomach was reset and fixed on the greater omentum and the dorsal membrane of the pancreas. The excised gastric tissue was taken out through the main operation hole, the abdominal cavity was cleaned, the drainage tube was placed, finally the Trocar holes were closed.