A Novel Surgical Technique: Single-Incision Transumbilical Laparoscopic Roux-en-Y Gastric Bypass

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 transumbi...

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Bibliographic Details
Published in:Obesity surgery 2010-10, Vol.20 (10), p.1429-1435
Main Authors: Huang, Chih-Kun, Yao, Sheng-Fa, Lo, Chi-Hsien, Houng, Jer-Yiing, Chen, Yaw-Sen, Lee, Po-Huang
Format: Article
Language:English
Subjects:
Adult
Body Mass Index
Clinical Research
Comorbidity
Comparative studies
Female
Gastric Bypass - methods
Gastrointestinal surgery
Humans
Laparoscopy - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity
Obesity, Morbid - epidemiology
Obesity, Morbid - surgery
Patient Satisfaction
Surgery
Surgical techniques
Suture Techniques
Young Adult
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Summary: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  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-010-0218-8