title: Laparoscopic-assisted Roux-en-Y gastric bypass.
abstract: Eight patients underwent laparoscopic Roux-en-Y gastric bypass from May 1998 to September 1998 in which a hand-assist technique was used. The operation consisted of a 7.5-cm periumbilical midline incision along with three trocars placed in the upper abdomen. The operative times ranged from 2.25 to 4.5 h. The average preoperative body mass index was 44 kg/m2. Three-month postoperative follow-up revealed an average weight loss of 59 lb. Cosmetic results to date have been excellent even when compared with those of a total laparoscopic operation. The hand-assist technique allows the surgeon to have more control over the most difficult part of the case, which is manipulation of the small bowel in a morbidly obese abdomen.
authors.affiliation: Division of General and Trauma Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, USA.
authors.forename: M A
authors.initials: MA
authors.lastname: Schweitzer
authors.forename: T J
authors.initials: TJ
authors.lastname: Broderick
authors.forename: E J
authors.initials: EJ
authors.lastname: Demaria
authors.forename: H J
authors.initials: HJ
authors.lastname: Sugerman
mesh_terms: D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects / Q000379:methods; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D009767:Obesity, Morbid / Q000601:surgery; D015431:Weight Loss