Demanding sleeve gastrectomy procedure in a patient with severe intraabdominal adhesions: A case report and review of the literature

Figure 1 Computed tomography images. A: Computed tomography (CT) images of abdominal hernia in axial section; B: CT images of abdominal hernia in coronal section.

Figure 2 Locations of the trocars. (C) Camera port (10 mm) inserted 2 cm left to the umbilicus; (W1) Working port 1 (15 mm) inserted at the midclavicular line in the right upper quadrant; (W2) Working port 2 (12 mm) inserted at the anterior axillary line on the left; (A) Assistance port (5 mm) inserted at the intersection of the midclavicular line and the subcostal margin.

Figure 3 Laparoscopic view and total number and sizes of cartridges used during sleeve gastrectomy. A: Dissection of the lesser omentum by division of the gastrocolic ligament; B: The number and size of endoscopic cartridges used during laparoscopic sleeve gastrectomy.

Figure 4  The surgical specimen.