BY-NC-NDIlic M.Putnik S.Raspopovic K.2020-09-192020-09-1920180370-8179https://scidar.kg.ac.rs/handle/123456789/8685© 2018, Serbia Medical Society. All rights reserved. Introduction The aim of this paper was to presents long-term results of a laparoscopic gastric sleeve resection in a “super super” obese patient and a follow-up period of eight years. Case outline A patient with body mass index of 70 kg/m2 and Stage 3 obesity according to the King’s Obesity Staging Criteria, with metabolic syndrome and cardiovascular risk of over 20%, and a pronounced severe obstructive sleep apnea, underwent a laparoscopic gastric sleeve resection. After two years, the patient reached body mass index of 28.4 kg/m2 and eight years after the surgery has a body mass index of 34.3 kg/m2, and the percentage of excess body mass index loss of 79.3%. According to the King’s Obesity Staging Criteria, he falls under Stage 0. Conclusion Laparoscopic gastric sleeve resection may be performed as a stand-alone procedure in “super super” obese patients, with excellent long-term results.openAccesshttps://creativecommons.org/licenses/by-nc-nd/4.0/article10.2298/SARH170425129I2-s2.0-85048198204