Case Clinic 2: Laparoscopic Sleeve Gastrectomy

PROGRAM DESCRIPTION Surgical technology is constantly evolving, leading to rapid and profound changes in minimally invasive laparoscopic surgery over the past few decades. Various approaches—each with its strengths and limitations—have ...

PROGRAM DESCRIPTION
Surgical technology is constantly evolving, leading to rapid and profound changes in minimally invasive laparoscopic surgery over the past few decades. Various approaches—each with its strengths and limitations—have been developed to help minimize tissue trauma, wound complications, and postoperative scarring. Designing surgical tools that reduce incision size must be balanced with the need to maintain access with good visualization, providing a stable conduit that allows the surgeon to move forward safely, with tools that have sufficient shaft length and strength for the intended applications. The following case illustrates the use of a system that employs instruments with a 2.9-mm shaft that are inserted percutaneously through the skin, but with standard 5-mm end effectors that are attached to the shaft through a separate standard laparoscopic port.

EDUCATIONAL OBJECTIVES
After participating in this activity, clinicians should be better able to:Discuss the evolution of laparoscopic surgery and the pros/cons of various minimally invasive surgery (MIS) proceduresDescribe the new category of percutaneous laparoscopic surgery made possible by sub–3 mm diameter instrumentsRecognize the benefits of smaller incisions with minimization of tissue trauma and improved cosmesisAppreciate the importance of decreased hospital stay, improved recovery time, and minimization of tissue trauma

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