Laparoscopic Biliopancreatic Diversion: a Surgical Technique in our Learning Curve

Información del artículo

Abstract

Background

We present our initial experience with the laparoscopic BPD technique for super-obese patients. Recommended tips on the technique are summarized.

Methods

A total of 35 super-obese patients were submitted to BPD by laparoscopy in November 2009 and June 2010 for the treatment of morbid obesity.

Results

All operations were performed by laparoscopy with no need to convert to laparotomy. No mayor complications and mortality related to surgery were observed.

Conclusion

The Scopinaro technique can be safely performed in super-obese patients by surgeons with special dedication for bariatric surgery and advanced skills in intracorporeal suturing and knot-tying.

Keywords:

Bariatric surgery

Laparoscopic surgery

Biliopancreatic diversion

Morbid super-obesity

Resumen

Objetivo

Presentamos nuestra experiencia inicial con la técnica de Scopinaro mediante abordaje laparoscópico para el tratamiento de la superobesidad mórbida. Se repasan aspectos técnicos que hemos aprendido en nuestra curva de aprendizaje.

Métodos

Treinta y cinco pacientes con criterios de superobesidad mórbida fueron intervenidos de forma consecutiva en un centro concertado de segundo nivel en el periodo comprendido entre noviembre de 2009 y junio de 2010.

Resultados

Todas las operaciones se realizaron por laparoscopia sin necesidad de conversión. No hubo complicaciones mayores ni mortalidad.

Conclusión

La técnica de Scopinaro por laparoscopia se puede realizar en pacientes superobesos con seguridad en centros que incorporen cirujanos experimentados en el manejo de anastomosis y sutura laparoscópica intracorpóre

Palabras clave:

Cirugía bariátrica

Cirugía laparoscópica

Derivación biliopancreática

Superobesidad mórbida

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References

[1.]

N. Scopinaro, E. Gianetta, D. Civalleri, U. Bonalumi, V. Bachi.

Biliopancreatic bypass for obesity (II). Initial experience in man.

Br J Surg, 66 (1979), pp. 619

[2.]

N. Scopinaro, G.F. Adami, G.M. Marinari, E. Gianetta, E. Traverso, D. Friedman, et al.

Biliopancreatic diversion.

World J Surg, 22 (1998), pp. 936-946

Medline

[3.]

Gastrointestinal Surgery for Severe Obesity.

Consens Statement, 9 (1991), pp. 1-20

Medline

[4.]

T.T. Søvik, O. Taha, E.T. Aasheim, M. Engström, J. Kristinsson, S. Björkman, et al.

Randomized clinical trial of laparoscopic gastric bypass versus laparoscopic duodenal switch for superobesity.

Br J Surg, 97 (2010), pp. 160-166

http://dx.doi.org/10.1002/bjs.6802 | Medline

[5.]

G. Skroubis, S. Anesidis, I. Kehagias, N. Mead, K. Vagenas, F. Kalfarentzos.

Roux-en-Y gastric bypass versus a variant of biliopancreatic diversion in a non-superobese population: prospective comparison of the efficacy and the incidence of metabolic deficiencies.

Obes Surg, 16 (2006), pp. 488-495

http://dx.doi.org/10.1381/096089206776327251 | Medline

[6.]

P.E. O’Brien, T. McPhail, T.B. Chaston, J.B. Dixon.

Systematic review of medium-term weight loss after bariatric operations.

Obes Surg, 16 (2006), pp. 1032-1040

http://dx.doi.org/10.1381/096089206778026316 | Medline

[7.]

M. Gagner, A. García-Ruiz, M.J. Arca, B.T. Heniford.

Laparoscopic isolated gastric bypass for morbid obesity.

Surg Endosc, 13 (1999), pp. S6

[8.]