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  • Overview
  • Pre-Assessment
  • Activity
  • Post-Test
  • Evaluation
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Case Clinic 2: Laparoscopic Sleeve Gastrectomy

Case Clinic 2: Laparoscopic Sleeve Gastrectomy


Patient Case Study

Time to Complete

30 minutes


May 16, 2018


November 16, 2019
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Maximum Credits

0.50 / AMA PRA Category 1 CreditTM
0.50 / CNE Contact Hour

Accredited Provider

Jointly provided by Haymarket Medical Education (HME) and AKH Inc., Advancing Knowledge in Healthcare

Commercial Supporter

Supported by an educational grant from Teleflex Incorporated

Program Description

Surgical technology is constantly evolving, leading to rapid and profound changes in minimally invasive laparoscopic surgery over the past few decades. Various approaches—each with its strengths and limitations—have been developed to help minimize tissue trauma, wound complications, and postoperative scarring. Designing surgical tools that reduce incision size must be balanced with the need to maintain access with good visualization, providing a stable conduit that allows the surgeon to move forward safely, with tools that have sufficient shaft length and strength for the intended applications. The following case illustrates the use of a system that employs instruments with a 2.9-mm shaft that are inserted percutaneously through the skin, but with standard 5-mm end effectors that are attached to the shaft through a separate standard laparoscopic port.

Available Translations

The content of this activity has been translated into French, German, Italian, and Spanish. Click the links below for a PDF of the content in the indicated language.


Intended Audience

Surgeons, gastroenterologists, physician assistants (PAs), nurses (RNs), and nurse practitioners (NPs) with a surgery specialty or interest in surgery

Educational Objectives

After participating in this activity, clinicians should be better able to:

  • Discuss the evolution of laparoscopic surgery and the pros/cons of various minimally invasive surgery (MIS) procedures
  • Describe the new category of percutaneous laparoscopic surgery made possible by sub–3 mm diameter instruments
  • Recognize the benefits of smaller incisions with minimization of tissue trauma and improved cosmesis
  • Appreciate the importance of decreased hospital stay, improved recovery time, and minimization of tissue trauma
  • Conflict of Interest Disclosure Policy

    In accordance with the ACCME Standards for Commercial Support, HME requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. HME resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational activities.


    Chan W. Park, MD, FACS
    Bariatric and Minimally Invasive Surgery
    Tripler Army Medical Center
    Honolulu, HI

    Dr. Park receives consulting fees from W.L. Gore & Associates, Inc., Medtronic/Covidien, Physcient Inc., Teleflex Incorporated, and TransEnterix, Inc.

    Accredited Provider Disclosure

    The staff of Haymarket Medical Education and Dorothy Caputo, MA, BSN, RN, Lead Nurse Planner, of AKH Inc., Advancing Knowledge in Healthcare, have no relevant financial relationships to disclose.

    Reviewer Disclosures

    Ruchit Parikh, PharmD, has no relevant financial relationships to disclose.




    AMA PRA Category 1 Credit(s)TM

    Accreditation Statement

    Haymarket Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    Designation Statement

    Haymarket Medical Education designates this enduring material for a maximum of 0.50 AMA PRA Category 1 CreditTM . Physicians should claim only the credit commensurate with the extent of their participation in the activity.




    CNE Contact Hour(s)

    Accreditation Statement

    AKH Inc., Advancing Knowledge in Healthcare is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

    Designation Statement

    This activity is awarded 0.50 contact hours.

    Disclosure of Unlabeled Use

    This CME activity may or may not discuss investigational, unapproved, or off-label use of drugs. Participants are advised to consult prescribing information for any products discussed. The information provided in this CME activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options for a specific patient's medical condition.


    The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Haymarket Medical Education, AKH Inc., Advancing Knowledge in Healthcare, or Teleflex Incorporated. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

    If you have any questions relating to the CME accreditation of this activity, please contact HME at

    If you have any questions relating to the CE accreditation of this activity, please contact AKH at

    If you have any questions relating to your certificate or other issues with this activity, please contact


    To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.


    Hardware and Software Requirements
    • A computer with an internet connection
    • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
    • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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    Related to this activity

    Case Clinic 1: Total Laparoscopic Hysterectomy Patient Case Study

    Case Clinic 1: Total Laparoscopic Hysterectomy

    CME|CE 0.50 Credits