Laparoscopic Roux-en-Y gastric bypass: initial 2-year experience.

摘要: Background: Roux-en-Y gastric bypass (RYGBP)—essentially a restrictive bariatric procedure—is currently considered the gold standard for surgical treatment of morbid obesity. Open surgery in obese patients is associated with high risk cardiopulmonary complications, wound infection, and late incisional hernia. Laparoscopic has been shown to reduce perioperative morbidity improve postoperative recovery various procedures. Herein we present our results laparoscopic RYGBP after an initial 2-year experience. Methods: A prospective database was created department beginning without first procedure. To provide complete follow-up ?6 months, all operated on between June 1999 August 2001 were reviewed. Early results, weight loss, correction comorbidities, improvement quality life evaluated. Results: total 107 included. There 82 women 25 men, mean age 39.7 years (range, 19–58). primary procedure 80 cases (49 morbidly 31 superobese patients) reoperation failure or complication another operation 27 cases. Mean duration 168 min patients, 196 surperobese 205 reoperated (p 80% corresponding loss 15 body mass index (BMI) units 20 BMI patients. In vast majority comorbidities improved disappeared over time improved. Conclusions: feasible, but it very complex operation. Indeed, long steep learning curve, as reflected number major complications among 70 The curve probably includes 100 150 With increasing experience, rate becomes more acceptable comparable that open RYGBP. terms are similar those obtained surgery, at least short term. However, only surgeons extensive experience advanced well should attempt this