A Couple's Sleeve Gastrectomy: Video by Dr. Hu Guangjun
Dr. Hu Guangjun walks through two laparoscopic sleeve gastrectomies on one operating day: long trocar, calibration tube, stapling and reinforcement.
A couple, one operating day, two laparoscopic sleeve gastrectomies. In this video Dr. Hu Guangjun, Chief Physician in Gastrointestinal Surgery at Cangzhou People's Hospital (Oncology Campus), takes viewers into the operating room and explains the key steps as he performs the operation. We share the English version here as a teaching aid for surgical and anaesthesia teams and for anyone who wants to see how the procedure is carried out in practice.
Key steps in the video
Extra-long trocar. For a patient with a thick abdominal wall, the team uses an extra-long abdominal trocar. Dr. Hu holds it next to a standard trocar to show the difference in length and explains why it is needed to reach the abdominal cavity.
Mobilisation. The stomach is freed along the greater curvature, including the fundus, using an ultrasonic scalpel.
Calibration tube before stapling. The assistant is asked to insert the gastric calibration tube (bougie) before the stomach is divided. The tube acts as a guide so that the remaining sleeve has a consistent width.
Stapling. A linear cutting stapler is used to shape the stomach into a banana-shaped sleeve. The removed part of the stomach is later shown as the surgical specimen.
Staple-line reinforcement. Dr. Hu then uses a barbed suture to place a seromuscular inverting stitch over the staple line, reinforcing the cut edge of the remaining stomach.
The video also includes the anaesthesia team describing how sedation, analgesia and muscle relaxation are coordinated for intubation, and a short conversation with the second patient before his operation.
Further reading
Calibration and staple-line testing are two of the most discussed technical points in sleeve gastrectomy. For a summary of the evidence, see our articles on bougie size in sleeve gastrectomy and on the intraoperative leak test.
Credit
Original video by Dr. Hu Guangjun, Chief Physician, Gastrointestinal Surgery, Cangzhou People's Hospital (Oncology Campus). Shared with permission. English version by Shenyun Medical.
The same English version is also available as a YouTube Short: youtube.com
Sources: - Original video (YouTube Short, English version)
This article is for general educational purposes and does not constitute medical advice. Whether sleeve gastrectomy is suitable, and how it is performed, is decided by the treating surgical team with the patient.