title: [Laparoscopic biliopancreatic diversion: a surgical technique in our learning curve].
abstract: BACKGROUND
  We present our initial experience with the laparoscopic BPD technique for super-obese patients. Recommended tips on the technique are summarized.
  
  
  METHODS
  A total of 35 super-obese patients were submitted to BPD by laparoscopy in November 2009 and June 2010 for the treatment of morbid obesity.
  
  
  RESULTS
  All operations were performed by laparoscopy with no need to convert to laparotomy. No mayor complications and mortality related to surgery were observed.
  
  
  CONCLUSIONS
  The Scopinaro technique can be safely performed in super-obese patients by surgeons with special dedication for bariatric surgery and advanced skills in intracorporeal suturing and knot-tying.
authors.affiliation: Departamento de Cirugía General, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Las Palmas, España. dretomassetti@gmail.com
authors.forename: Eudaldo M
authors.initials: EM
authors.lastname: López-Tomassetti Fernández
authors.forename: Juan Ramón
authors.initials: JR
authors.lastname: Hernández Hernández
authors.forename: Valentín
authors.initials: V
authors.lastname: Nuñez Jorge
mesh_terms: D000293:Adolescent; D000328:Adult; D015904:Biliopancreatic Diversion / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D059032:Learning Curve; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D055815:Young Adult