Laparoscopic sleeve gastrectomy: how we do it and technical controversies

doi:10.3877/cma.j.issn.1674-3946.2026.01.002

Abstract

Abstract:

Laparoscopic sleeve gastrectomy is currently the most popularly performed bariatric technique. Focusing on the technical details of sleeve gastrectomy and striving for standardized procedures are essential to ensure surgical quality and prevent complications. Our different techniques, including placement of trocars, mobilization of the stomach, gastric transection, specimen retrieval, and how to prevent postoperative intrathoracic sleeve migration are described. Whether it’s necessary to do a staple line reinforcement in this procedure, preventive measures for postoperative intrathoracic sleeve migration, and the value of robotic or single-port sleeve gastrectomy are further discussed in this article.

Key words: Sleeve Gastrectomy, Staple Line Reinforcement, Gastroesophageal Reflux, Surgical Technique

Jiangfan Zhu, Liesheng Lu. Laparoscopic sleeve gastrectomy: how we do it and technical controversies[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2026, 20(01): 5-8.

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