APPENDIX D Comparison of Key Steps of the Laparoscopic Sleeve Gastrectomy Rune et al.1 OCHRA Expert consensus 13 steps Blackham et al.2 SOSATS Delphi consensus 12 steps Kaijser et al.3 Key steps Delphi consensus 6 steps Hashimoto et al.4 AI video segmenta2on expert consensus 7 steps 1. Importance of paqent posiqoning 1. Operaqve set up 1. Bupivacaine injecqon before trocar inserqon 2. Posiqoning of the trocars under vision 3. Adequacy of intraabdominal access and port placement consideraqons 2. Starqng of laparoscopy 1. Port placement 3. Inspecqon of the upper abdomen 2. Assessment of liver, hiatus and peritoneal adhesions 4. Posiqoning of the liver retractor 4. Adequate exposure - liver, stomach, hiatus, GEJ, greater curvature 2. Retracqon of the liver 3. Biopsy of the liver 5. Opening of the lesser sac 5. Gastric mobilizaqon - extent, entry into lesser sac, adequate antral and complete fundal mobilizaqon 3. Mobilizaqon of the greater curvature 4. Dissecqon of the gastrocolic ligament 6. Starqng mobilizaqon of the greater curvature 10. Use of energy sources in omental resecqon (principles of tension-free resecqon, thermal spread) 7. Conqnuing dissecqon along the greater curvature 8. Posiqoning a 34French orogastric tube along the lesser curvature 188 A
RkJQdWJsaXNoZXIy MTk4NDMw