Laparoscopic standard biliopancreatic diversion: Technique and preliminary results

被引：30

作者：

Scopinaro N. ^{[1
]}

Marinari G.M. ^{[1
]}

Camerini G. ^{[1
]}

机构：

[1] Department of Surgery, University of Genoa School of Medicine, Genoa

来源：

Obesity Surgery | 2002年 / 12卷 / 3期

关键词：

Biliopancreatic diversion; Laparoscopy; Morbid obesity;

D O I：

10.1381/096089202321088165

中图分类号：

学科分类号：

摘要：

Background: A technique for standard laparoscopic BPD was developed. Methods: Standard laparoscopic BPD was performed in 26 morbidly obese patients with mean BMI 43. Details of the technique, using 6 trocars, and instrumentation are described. Intestinal limb lengths were measured fully stretched, and the gastric remnant volume was also measured. Both enteroenteral and gastrointestinal anastomoses were fashioned with a side-to-side technique using the endoGIA, the conjoined defect being closed with a manual running seromuscular suture. Results: 6 and 12 month weight loss results were similar to those obtained in open BPD. Conclusion: Laparoscopic standard BPD is a feasible alternative to the open operative procedure, the major advantage being the likely near total avoidance of wound hernia.

引用

页码：362 / 365

页数：3

共 4 条

[1]

Scopinaro N., Adami G.F., Marinari G.M., Et al., Biliopancreatic diversion, World J Surg, 22, pp. 936-946, (1998)

[2]

Ren C.J., Patterson E., Gagner M., Early results of laparoscopic biliopancreatic diversion with duodenal switch: A case series of 40 consecutive patients, Obes Surg, 10, pp. 514-523, (2000)

[3]

Scopinaro N., Gianetta E., Friedman D., Et al., Biliopancreatic diversion for obesity, Probl Gen Surg, 9, pp. 362-379, (1992)

[4]

Friedman D., Traverso E., Adami G., Et al., Incisional hernias following biliopancreatic diversion (BPD), Obes Surg, 6, (1996)

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