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Laparoscopic-assisted Roux-en-Y gastric bypass
M A Schweitzer1, T J Broderick, E J Demaria
1Division of General and Trauma Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, USA.
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|October 16, 1999
Summary
The hand-assist technique for laparoscopic Roux-en-Y gastric bypass offers surgeons better control in obese patients. This method resulted in significant weight loss and excellent cosmetic outcomes in a small patient cohort.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
Background:
- Laparoscopic Roux-en-Y gastric bypass is a common bariatric procedure.
- Managing morbidly obese patients presents unique surgical challenges, particularly with small bowel manipulation.
Purpose of the Study:
- To evaluate the feasibility and outcomes of using a hand-assist technique in laparoscopic Roux-en-Y gastric bypass.
- To assess the impact of this technique on operative control, patient weight loss, and cosmetic results.
Main Methods:
- Eight patients with morbid obesity underwent laparoscopic Roux-en-Y gastric bypass utilizing a hand-assist technique.
- The procedure involved a single midline incision and three abdominal trocars.
- Data collected included operative time, preoperative BMI, and 3-month postoperative weight loss.
Main Results:
- Average preoperative body mass index was 44 kg/m2.
- Average weight loss at 3 months was 59 lb.
- Cosmetic results were noted as excellent, comparable to total laparoscopic approaches.
Conclusions:
- The hand-assist technique provides enhanced surgeon control during laparoscopic Roux-en-Y gastric bypass, especially for manipulating the small bowel in morbidly obese individuals.
- This technique is associated with significant weight loss and favorable cosmetic outcomes.