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Figure 3. Intraoperative aspect of sleeve gastrectomy with SLEEVE-DOR anterior 180° Fundoplication. (A) Position of the trocars for SLEEVE-DOR procedure. The two trocars on the right are used for the left and right hand of the surgeon, and the two left for the assistant. A fifth 5 mm Trocar can be added on the right side for liver retraction if needed; (B) Stapling pattern leaving 3 cm of gastric fundus for anterior fundoplication; (C) Fixation of the 180° wrap to the right crus and lower esophagus with one nonabsorbable 2-0 V-Loc suture; (D) Endoscopic view showing adequate anterior Dor fundoplication at 3 months postoperatively. SLEEVE-DOR: 180-degree anterior fundoplication.