Laparoscopic standard biliopancreatic diversion: technique and preliminary results.
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.


CONCLUSIONS
Laparoscopic standard BPD is a feasible alternative to the open operative procedure, the major advantage being the likely near total avoidance of wound hernia.
Scopinaro
Nicola
N
Department of Surgery, University of Genoa School of Medicine, Genoa, Italy. scopinar@unige.it
Marinari
Giuseppe M
GM
Camerini
Giovanni
G
D000328:Adult; D015904:Biliopancreatic Diversion / Q000592:standards*; D015992:Body Mass Index; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000592:standards*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D016896:Treatment Outcome