Laparoscopic bariatric surgery.

摘要: Bariatric surgery is a category of general surgical procedures traditionally done by laparotomy and, because the patient population and complexity procedure, it inherently less amenable to minimally invasive than most attempted surgeons. Over past 30 years, variety bariatric surgeries have been used surgically produce weight loss in severely obese patients, but these proven drawbacks that limited their popularity. Two stood test time are commonly performed today celiotomy include vertical banded gastroplasty (VBG) Roux-en-Y gastric bypass (RYGB). Both long track records for safety effectiveness, proponents continue argue one or other as procedure choice. Not performed, not discussed this article, biliopancreatic (a malabsorptive surgery) variants VBG, including Silastic ring banding (which shown outcomes similar VBG). VBG RYGB focus together with new adjustable (AGB). AGB only recently has significant numbers, laparoscopic approach series. types bands they essentially function same fashion. The long-term applicability effectiveness remain questionable. instruments (gastric bands) yet met US Food Drug Administration approval use United States. surgeons have, over several combined skills expertise advance field surgery. In States, its infancy, few centers enjoying success. Europe, AGB, within 5 on thousands patients many centers. European countries, replaced popular procedure. stands at another critical point development respect performance laparoscopically. It hoped setbacks experienced, such intestinal bypass, avoided favor careful application using strict scientific clinical data.