monthly focus

surgical intervention video

In this live educational video, Professor Himpens presents the case of a 34-year-old female patient (BMI of 41) with a history of morbid obesity since adolescence. She will undergo a laparoscopic sleeve gastrectomy (LSG). The preoperative work-up was normal. She had lost 2Kg six months before the procedure. Nowadays, laparoscopic sleeve gastrectomy (LSG) is one of the most commonly performed bariatric procedures. Surgical pitfalls are emphasized during the video to make sure that LSG is achieved adequately and to prevent any potential complications. In addition, trocars placement, location of the first firing of the linear stapler, the reasons why oversewing of the staple line is not performed, and thrombosis prophylaxis are also discussed during the procedure. 

Laparoscopic sleeve gastrectomy: surgical pitfalls in a live educational procedure 

Gastrectomie en manchon laparoscopique : les pièges de la chirurgie dans une procédure éducative en direct 

Bypass gastrique utilisant la dernière génération de système de chirurgie robotique : une procédure éducative en direct

In this live educational video, Dr. Vieira d'Almeida outlines surgical pitfalls when performing a 5-port Roux-en-Y gastric bypass (RYGB) using the da Vinci Xi™ robotic surgical system (Intuitive Surgical). During the video, a comparison is made with other robotic platforms (e.g. da Vinci Si™ system) regarding trocar placement, robotic docking, dexterity, instruments quality, and the introduction of fluorescence systems. Technical steps are provided to create a RYGB with a 100cm alimentary limb and a 150cm biliary limb, transection of the greater omentum, Petersen’s defect and mesenteric defect closure, which are performed routinely. 

Robot-assisted Roux-en-Y gastric bypass using the latest generation of robotic surgical system: a live educational procedure

Description standardisée, étape par étape, d'un bypass gastrique laparoscopique : une procédure éducative en direct

In this live educational video, Dr. Almino Cardoso Ramos shows the case of a morbidly obese 42-year-old woman with a BMI of 41. In the preoperative work-up, the patient lost 4kg. Imaging studies showed normal anatomy and did not evidence any hiatal hernia or GERD. Manometry did not show any motility disorders. 

During the procedure, surgical pitfalls are highlighted and discussed in order to create a standardized Roux-en-Y gastric bypass (RYGB) with a biliopancreatic limb of 150cm and an alimentary limb of 100cm. Anatomical landmarks for gastric pouch creation are demonstrated. Emphasis is put on the adequate length measurement for both the biliopancreatic and alimentary limbs in order to ensure weight loss. The author also stresses the necessity to use appropriate staplers along with the ways to prevent stapler-related complications. He outlines his preference for specific suture material to close the enterotomy, and provides tips and tricks for the closure of the mesenteric defect and of Petersen’s space. 

A standardized step-by-step description of a laparoscopic Roux-en-Y gastric bypass: a live educational procedure

video lecture

Gastrectomie en manchon : gestion endoscopique des effets indésirables

In this key lecture, Dr. Galvao Neto outlines the endoscopic management of adverse effects related to sleeve gastrectomy. The presentation also includes experts' opinions, with Questions & Answers at the end.

Sleeve gastrectomy: endoscopic management of adverse effects

Gastrectomie en manchon : la nouvelle technique de référence ?

In this key lecture, Dr. Jacques Himpens focuses on sleeve gastrectomy. Has it become the new golden standard?

Sleeve gastrectomy - The new golden standard?

Complications à long terme après bypass gastrique : quelques exemples

In this key lecture, Dr. Michel Sutter outlines long-term complications after Roux-en-Y gastric bypass (RYGB) and provides some relevant examples.

Long-term complications after Roux-en-Y gastric bypass (RYGB): some examples

In this key lecture, Dr. Mihaela Ignat outlines enhanced recovery pathways and day case surgery for patients. 

Enhanced recovery pathways - Day Patient Surgery

Convalescences en voie d'amélioration : chirurgie de jour

Hernie hiatale et RGO

In this key lecture, Professor Silvana Perretta focuses on hiatal hernia and GERD in relation to bariatric surgery.