Transumbilical Roux-en-Y gastric bypass in morbidly obese patients: A systematic review

Doulamis, Ilias P.; Economopoulos, Konstantinos P.

doi:10.1016/j.ijsu.2015.06.077

Cited by 7 publications

(2 citation statements)

References 24 publications

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“…Still, early case reports of SP-RYGB have shown it to be feasible and safe in the short-term follow-up 12,24. A systematic review by Doulamis and Economopoulos25 of 10 studies of transumbilical RYGB, including four cases of SP-RYGB, demonstrated an average operative time of 128.5 minutes (range, 60–240 minutes). Cosmesis was good, but rates of 1.2% for anastomosis leak and 1.2% for wound infection were present.…”

Section: Laparoscopic Proceduresmentioning

confidence: 99%

Laparoendoscopic Single-Site Bariatric Surgery: A Review of Single-Port Laparoscopic and Endoscopic Bariatric Treatments

Park

Ahn

Park

et al. 2018

JOMES

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Bariatric surgery is an established and effective treatment, not only to combat morbid obesity, but also to address associated metabolic comorbidities. At this time, the cutoff for bariatric or metabolic surgery in terms of body mass index (BMI) is decreasing, making it more feasible for certain individuals to consider minimally invasive surgical options. Innovations in the technique have led to the application of laparoendoscopic single-site surgery (LESS) in the field of bariatrics, which uses a single or no incision in the performance of weight-reducing surgery. To date, there is no consensus regarding patient selection though most candidates for single-port bariatric surgery are female. Some doctors suggest that single-port bariatric surgery may not be recommended in patients with BMI of more than 50 kg/m 2 , height of more than 180 cm, and xiphoid-umbilicus distance of more than 20 cm. Sleeve gastrectomy (SG) is now the most widely performed bariatric surgery worldwide and singleport SG (SPSG) is already established as a routine procedure in various institutions. Current evidence shows that SPSG is less painful and demonstrates higher rates of patient satisfaction regarding the wound. SPSG is feasible and is recommendable in patients who meet certain criteria. Furthermore, endoscopic treatment modalities such as intragastric balloons and endoluminal malabsorptive devices are being developed to bridge the gap between medical and surgical treatments. Nevertheless, there is still insufficient evidence to prove the superiority of LESS bariatric surgery over conventional laparoscopic surgery. Large, well-designed prospective analyses are needed to determine the criteria for selecting patients suitable to undergo LESS bariatric surgery and to predict the procedure' s role in the growth of bariatric surgery.

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Section: Laparoscopic Proceduresmentioning

confidence: 99%

Laparoendoscopic Single-Site Bariatric Surgery: A Review of Single-Port Laparoscopic and Endoscopic Bariatric Treatments

Park

Ahn

Park

et al. 2018

JOMES

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“…For this reason, numerous studies have been conducted worldwide on treating obesity. It has been shown that the gold standard for the most rapid, durable, and long-term treatment of obesity is bariatric surgery (BS) 1 , 2 .…”

Section: Introductionmentioning

confidence: 99%

The outcome of concomitant cholecystectomy with bariatric surgery: a retrospective cohort study

Yıldırım¹,

Karabıçak²,

Gursel³

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: Gallstones are more common in obese individuals than in healthy individuals. They are diagnosed during the preoperative evaluation for bariatric surgery (BS). However, simultaneous cholecystectomy with BS is still controversial in patients with asymptomatic gallstones in the same session. In this study, the authors aimed to present an analysis of these operations performed with BS in the hospital. Materials and Methods: The records of 396 patients who underwent BS at Samsun VM Medicalpark Hospital between September 2017 and October 2021 were retrospectively reviewed. The length of hospital stay, operation time, complications, and safety of patients who underwent simultaneous cholecystectomy and BS only were examined. Results: Of 396 patients, 262 (66.1%) underwent laparoscopic sleeve gastrectomy and 134 (33.8%) underwent laparoscopic gastric bypass surgery. Gallstones were detected during the preoperative examination in 72 (18.1%) of the 396 patients who underwent BS. It was observed that 11 of them had symptoms. No major complications occurred during or after surgery in patients who underwent simultaneous cholecystectomy and only in those who underwent BS. Conclusion: Simultaneous cholecystectomy with BS does not burden the patient, and complication rates are very low. The procedure is also cost-effective, as patients do not require a second surgery.

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Single Incision Laparoscopic Roux-en-Y Gastric Bypass

Huang

2022

Obesity, Bariatric and Metabolic Surgery

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Transumbilical Roux-en-Y gastric bypass in morbidly obese patients: A systematic review

Abstract: Clinical outcomes of the transumbilical Roux-en-Y gastric bypass appear to be comparable with those of the conventional laparoscopic one. However, more trials are necessary to elucidate all of its aspects.

Cited by 7 publications

References 24 publications

Laparoendoscopic Single-Site Bariatric Surgery: A Review of Single-Port Laparoscopic and Endoscopic Bariatric Treatments

Laparoendoscopic Single-Site Bariatric Surgery: A Review of Single-Port Laparoscopic and Endoscopic Bariatric Treatments

The outcome of concomitant cholecystectomy with bariatric surgery: a retrospective cohort study

Single Incision Laparoscopic Roux-en-Y Gastric Bypass

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