Laparoscopic Gastric Plication-Surgical Technique

The patients were positioned with the legs apart and the surgeon in between (French position) and the assistants on each side. We used 5 trocars. The patients are then put in reverse Trendelenburg to obtain a good access to the stomach (Figure 1) We begin by skeletonizing the great curvature first upwards and then downwards till 3-4 cm from the pylorus. Instruments like Ligasure or Enseal facilitate a bloodless dissection. Unlike in Sleeve Gastrectomy we have to maintain a safety … Citeste in continuare