腹腔镜早期胃切除术后胃大部切除术的应用

                               
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A young female patient developed early post laparoscopic sleeve gastrectomy stapple line leak. Post operatively, there was no tachycardia, no fever, no leucocytosis, only recurrent syncopal attacks. Leak was diagnosed by CT abdomen. Laparoscopic exploration and repair was done after 36 hours of the LSG. A megastent was inserted in the same setting which was removed 3 weeks later with no evidence of leak.