This video presents a 53 y.o. male with BMI of 43,36. After assessing the abdominal cavity and feasibility of the procedure we start with teh BP limb measurment, then the loop is fixed to the greater curvature, so we can work just in the upper part of the abdomial cavity. We tend to create longer gastric pouch, always check for stapler line bleeding with induced hypertension and titanium clips. Anastomosis is of linear construction, stapler defect closed with barbed stitch, with negative leak test performed. We close Peterson defect and at the end fix the efferent limb to the greater curvature to avoid kinking.
The postoperative course was uneventful and the patient was discharged on POD 3.
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