The document discusses a MGB (mini gastric bypass) surgery and notes that while the surgery was done well, the use of sleeve ports is not recommended. Specifically, it notes the sleeve ports create a pouch like a sleeve between the legs rather than a proper MGB pouch. It also notes issues with the angle of the stapler and dissection when using sleeve ports that led to an "ugly" anastomosis. In conclusion, it suggests the overall MGB was good but some modifications may be needed.

1. MGB Video
Commentary
Well Done MGB
But Not Recommended to Use Sleeve
Ports

2. MGB Video Commentary
Ports “Like a Sleeve Between the Legs”

3. MGB Correct Position

4. Narrow Pouch More Like Sleeve Less Like MGB

5. Twisted Pouch

6. Twisted Pouch

7. Twisted Pouch

8. Wrong Angle of Stapler
(Sleeve Ports)

9. Not Recommended/Bad Decision
Dissection of Angle of His

10. Not Recommended/Bad Decision
Dissection of Angle of His

11. Not Recommended Bad Decision
Blunt Dissection of Short Gastrics

12. Sleeve Ports
Wrong Angle for Stapler

13. Needle Driver
Wrong Angle (Sleeve Ports)

14. Needle Driver
Wrong Angle (Sleeve Ports)
“Ugly”
Anastomosis

15. Overall Good MGB
Maybe Some Modifications
Suggested?