The document discusses a MGB (mini gastric bypass) surgery that was well performed but notes that the use of sleeve ports is not recommended. Specifically, it states that sleeve ports create a pouch shape more like a sleeve between the legs rather than an MGB pouch shape. It also notes issues with the angle of the stapler and dissection when using sleeve ports that led to an "ugly" anastomosis. While the overall MGB outcome was good, it suggests some modifications may have improved the procedure.

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?