Kyushu University Academic Staff Educational and Research Activities Database
List of Presentations
Yoshihiro Nagao Last modified date:2021.06.01

Assistant Professor / Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University / Department of Advanced Medicine and Innovative Technology / Kyushu University Hospital

1. Ikeda, T. Nakata, R. Obata, S. Hashizume, M. , Laparoscopic long sleeve gastrectomy manipulate stomach like a marionette., The European Association of Endoscopic Surgery, 2016.06, Background:
Laparoscopic sleeve gastrectomy (LSG) is gaining popularity worldwide as a definitive bariatric procedure. However, there are still some controversial associated with the technique, such as methods of the reliably dissection of gastric fundus, the prevention of the gastric tube strictures and the reinforcement method of staple line.
The aim of this study to evaluate our technique on the preoperative course of LSG.
Between March 2013 and December 2015, 65 morbidly obese patients submitted for LSG were performed. Thirty cases were performed long sleeve gastrectomy using this technique.
Surgical technique:
The dissection was begun by dividing the gastrocolic ligament along the greater curvature of the stomach approximately 1 cm proximal to the pylorus using a bipolar vessel sealer attached to a SILIGATORⓇ (auto irrigation silicon tube, Fujisistem Kanagawa Japan). This dissection was continued towards the gastroesophageal junction while the two points of gastric greater curvature lifting with thread through the abdominal wall. With the stomach held in the cephalad direction, the gastric transection is started the greater curvature of the gastric angle continued towards the gastroesophageal junction. And excise the stomach from the gastric angle toward the approximately 1 cm proximal to the pylorus using endostaplers inserted from the left side port. Following the transection of the stomach, the staple line was oversewn using 2/0 Endo Quick SutureⓇ (Akiyama, Japan) usually 25 times of interrupted suture.
Using the devised techniques, a Japanese gastroenterological surgical department was able to safely perform bariatric surgery on patients with BMIs of 35 – 75.8 (kg/m2)..