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Laparoscopic Roux-en-Y Gastric bypass utilizing the triple stapling technique
Constantine T Frantzides1, Tallal M Zeni, Atul K Madan
1Minimally Invasive Surgery Center, Department of Surgery, Evanston Northwestern Healthcare and Northwestern University, Evanston, Ilinois 60201, USA. cfrantzides@enh.org
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|August 3, 2006
Summary
The triple stapling technique for jejunojejunostomy in laparoscopic Roux-en-Y gastric bypass (LRYGB) is safe and effective. This method resulted in minimal complications and significant weight loss in bariatric surgery patients.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Surgical Techniques
Background:
- Laparoscopic Roux-en-Y gastric bypass (LRYGB) is a common bariatric procedure.
- The creation of the jejunojejunostomy (JJ) is a critical step in LRYGB.
- Evaluating novel techniques for anastomosis is crucial for patient outcomes.
Purpose of the Study:
- To assess the outcomes of a single surgeon's experience with LRYGB.
- To evaluate the efficacy of the triple stapling technique for JJ creation.
- To analyze complication rates and patient outcomes associated with this technique.
Main Methods:
- Retrospective review of 435 consecutive LRYGB patients.
- Analysis of data from October 2001 to December 2004.
- Focus on patients who underwent JJ creation using the triple stapling technique.
Main Results:
- Low conversion rate (0.2%) and acceptable operating time (144+/-26 min).
- No JJ leaks occurred; 3 gastrojejunostomy leaks (0.7%).
- Minimal JJ revision (0.2%), low bleeding (4.8%), and mortality (0.5%); 72% excess weight loss at 1 year.
Conclusions:
- The triple stapling technique for JJ construction in LRYGB is safe and efficient.
- This method is associated with a low complication rate.
- The technique facilitates successful bariatric surgery outcomes.
