Precise Laparoscopic Roux-en-Y Gastric Bypass: A New Concept in Bariatric and Metabolic Surgery

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Wah YangJingge Yang

Abstract

Bariatric surgery is technically complex. It is important to refine existing methods and explore new techniques to improve the outcomes of patients. We discuss the characteristics and applications of the precise laparoscopic Roux-en-Y gastric bypass (PLRYGB) in clinical practice. We retrospectively analyzed the clinical records of obese patients who underwent laparoscopic Roux-en-Y gastric bypass between 2009 and 2012, and compared surgical data, postoperative recovery, weight loss, and complications of patients who underwent PLRYGB with those who underwent conventional laparoscopic Roux-en-Y gastric bypass (CLRYGB) surgery. Of 211 patients, 89 underwent CLRYGB and 122 PLRYGB. Although the operating time for PLRYGB was significantly longer than CLRYGB (149 ± 23 min vs. 138 ± 23 min, P < 0.05), length of hospital stay was shorter in those undergoing the precise technique (4.2 ± 1.1 d for PLRYGB and 7.7 ± 1.5 d for CLRYGB, P < 0.05), and the percentage of excess weight lost 18 months after surgery was greater (78.4 ± 8.2% for PLRYGB and 64.5 ± 8.4% for CLRYGB, P = 0.000). Five patients (5.6%) who underwent conventional surgery experienced postoperative complications, including 1 anastomotic leak and 1 internal hernia; 1 patient r...Continue Reading

References

Jun 28, 2005·Obesity Surgery·Wei-Jei Lee, Weu Wang
Nov 8, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Helen M HeneghanBipan Chand
Feb 9, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kalyana C NandipatiS Scott Davis
Jun 15, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Antonio IannelliJean Gugenheim
Jan 23, 2013·Obesity Surgery·Henry Buchwald, Danette M Oien

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Citations

Feb 16, 2017·Biological Research for Nursing·V E Fernández-RuizJ Mulero
Jul 30, 2021·Obesity Surgery·Jianxue WangUNKNOWN Chinese Obesity and Metabolic Surgery Collaborative

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Methods Mentioned

BETA
gastric bypass

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