The impact of laparoscopy on bariatric surgery.
The rising popularity of bariatric surgery over the past several years is attributable in part to the development of laparoscopic bariatric surgery. Morbidly obese patients have associated comorbid conditions that may predispose them to postoperative morbidity. The laparoscopic approach to bariatric surgery offers a minimally invasive option that reduces the physiologic stress and provides clinical benefits, as compared with the open approach. This review summarizes the impact of laparoscopic surgery on bariatric surgery, the various risk factors that could potentially predispose morbidly obese patients to postoperative morbidity, the fundamental differences between laparoscopic and open bariatric surgery, and the physiology of reduced tissue injury associated with laparoscopic bariatric surgery.
Cottam
D R
DR
Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Nguyen
N T
NT
Eid
G M
GM
Schauer
P R
PR
D050110:Bariatric Surgery / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D001779:Blood Coagulation Factors / Q000032:analysis; D002245:Carbon Dioxide / Q000008:administration & dosage / Q000009:adverse effects; D015897:Comorbidity; D003924:Diabetes Mellitus, Type 2 / Q000503:physiopathology; D006801:Humans; D007249:Inflammation; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D007813:Laparotomy / Q000009:adverse effects / Q000379:methods; D008168:Lung / Q000503:physiopathology; D019060:Minimally Invasive Surgical Procedures; D009767:Obesity, Morbid / Q000378:metabolism / Q000503:physiopathology / Q000601:surgery; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects; D011183:Postoperative Complications / Q000453:epidemiology / Q000378:metabolism / Q000503:physiopathology; D011655:Pulmonary Embolism / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000517:prevention & control; D019851:Thrombophilia / Q000188:drug therapy / Q000209:etiology; D013927:Thrombosis / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control
D001779:Blood Coagulation Factors; D002245:Carbon Dioxide