Technical Considerations of Ring-Augmented Laparoscopic Sleeve Gastrectomy: A Step-by-step Guide for Ring Placement by Various Experts

Laparoscopic ring-augmented sleeve gastrectomy is a technically demanding metabolic bariatric procedure that, when performed correctly, can enhance weight loss out comes and reduce side effects of sleeve gastrectomy, such as long-term dilation of the gastric sleeve. Better weight loss outcomes are observed at 3 and 5 years postoperatively, with a margin of 6.4% and 9.9% in total weight loss (%TWL), respectively, following ring-augmented sleeve gastrectomy.

This video demonstrates three distinct surgical approaches performed by three different surgeons from three different countries. Each surgeon showcases their preferred technique for performing a ring-augmented sleeve gastrectomy, outlining the essential steps and providing detailed explanations for their respective procedures.