title: Laparoscopic standard biliopancreatic diversion: technique and preliminary results.
abstract: 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.
authors.affiliation: Department of Surgery, University of Genoa School of Medicine, scopinar@unige.it
authors.forename: Nicola
authors.initials: N
authors.lastname: Scopinaro
authors.forename: Giuseppe M
authors.initials: GM
authors.lastname: Marinari
authors.forename: Giovanni
authors.initials: G
authors.lastname: Camerini
mesh_terms: D000328:Adult; D000368:Aged; D015904:Biliopancreatic Diversion / Q000009:adverse effects* / Q000379:methods*; D015992:Body Mass Index; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000503:physiopathology / Q000601:surgery*; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications; D013997:Time Factors; D015431:Weight Loss / Q000502:physiology