Lack of Effective Surgical Team Communication During a Laparoscopic Roux-en-Y Gastric Bypass, Leading to a Severe Intraoperative Complication.

Laparoscopic Roux-en-Y gastric bypass surgical technique systematization makes it a very safe technique that it is not exempt from intraoperative complications. One of the key aspects for performing a safe procedure is combining technical expertise with nontechnical skills, such as communication and teamwork. We describe a case that highlights the importance of surgical team interaction to avoid intraoperative complications during bariatric surgery, as an incidental stapling of the nasogastric tube. This clinical case highlights the importance of effective teamwork and a culture of safety during complex laparoscopic surgical procedures. The lack of effective surgical team communication during a laparoscopic Roux-en-Y gastric bypass can be a cause of severe surgical complications that requires experience of the surgical team for its resolution.