Laparoscopic Roux-en-Y Gastric Bypass: Technically Difficult But Effective
Review of LRYGB for the Treatment of Severe Obesity
| Bariatric Surgery information Laparoscopic Roux-en-Y Gastric Bypass: Technically Difficult But Effective |
Review of LRYGB for the Treatment of Severe Obesity |
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Weight Loss Surgery Information - Bariatric Research Studies |
Outcome analysis of laparoscopic Roux-en-Y
gastric bypass for morbid obesity.
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Method
Two surgeons performed 116 consecutive laparoscopic Roux-en-Y gastric bypass operations at a single institution, creating a 25-ml pouch and a 90- to 150-cm Roux limb. The prospectively collected data included patient demographics, comorbidities, postoperative weight loss, and complications.
Results
All eight conversions to an open procedure occurred early during the experience of the surgeons. The mean operating room time for the first 50 cases was 272 min, which decreased to 198 min with experience. The mean length of hospital stay was 3 days. There were 34 complications in 27 patients (23.3%), 14 of which (12%) required reoperation. At 18 months postoperatively, the patients had lost 77% of their excess weight, and their body mass index had decreased from a mean of 49.3 to 32.6 kg/m2. As a result of laparoscopic Roux-en-Y gastric bypass, 25% of the patients were rendered completely free of any pharmacologic treatment for their preexisting comorbidities.
Conclusion
Although technically challenging, laparoscopic Roux-en-Y gastric bypass can be performed safely with excellent long-term results. The mean operating room time and conversion rate improved with experience. As this study showed, laparoscopic Roux-en-Y gastric bypass procedures achieve an excellent rate of weight loss and improvement in preoperative comorbidities with a minimal length of hospital stay and an acceptable complication rate.
Source:
Papasavas PK, Hayetian FD, Caushaj PF, Landreneau RJ, Maurer J, Keenan
RJ, Quinlin RF, Gagne DJ. Minimally Invasive Surgery, West Penn Allegheny
Health System, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA. 2002