Staplerless laparoscopic gastric bypass: a new option in bariatric surgery.
Obes Surg
; 16(5): 638-45, 2006 May.
Article
em En
| MEDLINE
| ID: mdl-16687035
The staplerless Roux-en-Y gastric bypass (RYGBP) is a new option in bariatric surgery. The first to describe it was Himpens (2004) utilizing the LigaSure Atlas (LSA) in a series of 10 patients. The laparoscopic RYGBP is performed utilizing the LSA for the gastric and jejunal partition; after that, an imbricating running suture is performed to ensure stomach and bowel hermetic closure. All anastomoses are hand-sewn. Technical disadvantages are: learning curve; complications related to suture failure; possible thermal/electricity related injuries; longer operating time. Advantages are: stapler-associated bleeding, leaks, staple-line disruption, and fistulas are avoided; cost reduction. The staplerless RYGBP is complex; the surgeon involved requires expertise and ability. This technique will evolve and will be used by more surgeons. It is a new option for the surgeon preoccupied with costs, which is particularly important in developing countries.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Derivação Gástrica
Tipo de estudo:
Health_economic_evaluation
Limite:
Humans
País/Região como assunto:
America do norte
/
America do sul
/
Brasil
Idioma:
En
Revista:
Obes Surg
Assunto da revista:
METABOLISMO
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Estados Unidos