Laparoscopic versus open biliopancreatic diversion: a prospective comparative study.

Area of Science:

• Bariatric Surgery
• Minimally Invasive Surgery
• Surgical Outcomes

Background:

• Bariatric surgery is crucial for managing obesity.
• Choosing the appropriate surgical approach is patient-dependent.
• Scopinaro's biliopancreatic diversion (BPD) is a bariatric procedure.

Purpose of the Study:

• Compare surgical outcomes of laparoscopic versus open Scopinaro's biliopancreatic diversion (BPD).
• Evaluate the efficacy and safety of the laparoscopic approach in BPD.

Main Methods:

• Retrospective comparison of 80 patients undergoing laparoscopic (VL) or open (OP) BPD.
• Standardized technique, staplers, and limb measurements were used for both groups.
• Key outcomes assessed included operative time, complications, pain, recovery, and hospital stay.

Main Results:

• Laparoscopic BPD showed significant reductions in postoperative pain, analgesic consumption, incisional hernia incidence, operative time, and hospital stay.
• Early removal of nasogastric (NG) tubes and earlier oral intake were observed in the laparoscopic group.
• No significant differences were found in intraoperative or early postoperative complications or intestinal function recovery.

Conclusions:

• Laparoscopic BPD is a safe and effective bariatric procedure.
• It offers advantages over open BPD, including less pain, faster recovery, and reduced hernia rates.
• The laparoscopic approach does not negatively impact intervention duration while improving patient outcomes.