A Novel Surgical Technique: Single-Incision Transumbilical Laparoscopic Roux-en-Y Gastric BypassReport as inadecuate




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Obesity Surgery

, Volume 20, Issue 10, pp 1429–1435

First Online: 01 July 2010

Abstract

Conventional laparoscopic Roux-en-Y gastric bypass LRYGB is a gold standard for bariatric surgery, but the procedure requires five to seven incisions for placement of multiple trocars and thus may produce less-than-ideal cosmetic results. We have developed a new approach, single-incision transumbilical LRYGB SITU-LRYGB to treat morbid obesity. We compared the surgical results and patient satisfaction in a study of five-port LRYGB and SITU-LRYGB. Fifty morbidly obese patients 14 males, 36 females underwent either Roux-en-Y gastric bypass with five-port LRYGB or the SITU-LRYGB approach. During the operation, we used a novel intraoperative liver traction method with a -liver suspension tape- that we specifically designed for SITU-LRYGB. Compared to five-port surgery with SITU-LRYGB, there were no intraoperative complications, wound healing was excellent, and there was no abdominal scarring. SITU surgical time was longer than that with five-port LRYGB 99.8 vs. 67.6 min, P < 0.001. Patients treated with the five-port method were more obese than those in the SITU group 127.9 vs. 112.4 kg, P = 0.016. After the bariatric surgery, no difference in comorbidity was found in both groups. Patient satisfaction was greater with SITU than with the five-port method 4.48 vs. 3.96, P = 0.006. Roux-en-Y gastric bypass can be successfully achieved via a single umbilical incision, a method that provides a short operative time and good recovery and eliminates abdominal scarring.

KeywordsLaparoscopic Roux-en-Y gastric bypass Single-incision transumbilical laparoscopic surgery SILS Gastric bypass Laparoscopy Bariatric surgery  Download fulltext PDF



Author: Chih-Kun Huang - Sheng-Fa Yao - Chi-Hsien Lo - Jer-Yiing Houng - Yaw-Sen Chen - Po-Huang Lee

Source: https://link.springer.com/article/10.1007/s11695-010-0218-8



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