Exploring alternative techniques for laparoscopic sleeve gastrectomy with stapling first: the in situ method in a propensity score-matched retrospective study

Purpose

Laparoscopic sleeve gastrectomy (LSG) is the most common metabolic and bariatric surgery worldwide. However, achieving adequate exposure at the angle of His remains technically challenging. This study introduces a modified "in situ" method, hypothesizing shorter operative time without increased complications or compromised 1-year weight loss.

Methods