The first experience of using two steps laparoscopic Roux-en-y gastric bypass
Abstract
Laparoscopic Roux-en-Y gastric bypass is one of the most effective bariatric, metabolic and antireflux operations, but at the same time one of the most difficult and time–consuming. In order to reduce the duration and traumatism of surgery in patients with a high risk of anesthesia and surgery and/or concomitant severe abdominal pathology a two steps laparoscopic Roux-en-Y gastric bypass technique was used in 7 cases. The duration of the first stage varied from 90 to 190 minutes and depended mainly on the type and complexity of concomitant abdominal pathology. After 7 days all patients underwent the second stage of gastric bypass surgery. The execution time of the second stage did not exceed one hour. There were no conversions, intraoperative and postoperative complications. All patients were discharged from the hospital in satisfactory condition on the third day after the second stage of surgery. Conclusion: in bariatric patients with a high risk of anesthesia and surgery and/or concomitant severe abdominal pathology, as well as in the event of additional surgical and anesthetic risks during surgery Roux-en-Y gastric bypass can be successfully divided into two stages.
About the Author
A. N. Pryakhin
South-Urals State Medical University; «Regional clinical hospital № 3»
Russian Federation
Russian Federation
Chelyabinsk
References
1. Национальные клинические рекомендации по лечению морбидного ожирения у взрослых. 3-й пересмотр (Лечение морбидного ожирения у взрослых) / И.И. Дедов, Г.А. Мельниченко, М.В. Шестакова и др. // Ожирение и метаболизм. – 2018. – Т. 15. – С. 53–70. doi: 10.14341/OMET2018153-70.
2. Aminian, A. Individualized metabolic surgery score: procedure selection based on diabetes severity / A. Aminian // Ann. Surg. – 2017. – Vol. 266, № 4. – Р. 650–657.
3. Maclellan, W.C. Laparoscopic gastric bypass: still the gold standard? / W.C. Maclellan, J.M. Johnson // Surg. Clin. North Am. – 2021. – Vol. 101, № 2. – P. 161–175. https://doi.org/10.1016/j.suc.2020.12.013.
4. Ghiassi, S. Safety and efficacy of bariatric and metabolic surgery / S. Ghiassi, J.M. Morton // Curr. Obes. Rep. – 2020. – Vol. 9, № 2. – P. 159–164. https://doi.org/10.1007/s13679-020-00377.
5. Review of commonly performed bariatric surgeries: Imaging features and its complications / D. Gandhi, U. Boregowda, P. Sharma et al. // Clin. Imaging. – 2021. – Vol. 72. – P. 122–135. https://doi.org/10.1016/j.clinimag.2020.11.020.
6. Принципы выбора повторных бариатрических операций (обзор литературы) / Ю.И. Яшков, Ю.И. Седлецкий, Д.И. Василевский и др. // Вестник хирургии им. И. И. Грекова. – 2020. – Т. 179, № 1. – C. 95–104. doi: 10.24884/0042-4625-2020-179-1-95-104.
Review
For citations:
Pryakhin A.N. The first experience of using two steps laparoscopic Roux-en-y gastric bypass. Title in english. 2024;19(4):7-9. (In Russ.)
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