title: [Precise laparoscopic Roux-en-Y gastric bypass in the treatment of 140 patients with obesity and metabolic diseases].
abstract: OBJECTIVE
  To investigate the efficacy and safety of precise laparoscopic Roux-en-Y gastric bypass(LRYGB) in the treatment of obesity and metabolic diseases.
  
  
  METHODS
  Clinical and follow-up data of obese patients underwent precise LRYGB in our department between June 2011 and April 2013 were analyzed retrospectively.
  
  
  RESULTS
  A total of 140 obese patients were included in this study. All the precise LRYGB procedures were successfully performed with no conversion to open surgery or perioperative death. Average operation time was (138.0±21.3) min, postoperative hospital stay was (5.2±1.2) d. No severe complications was observed. The percentages of excess weight loss in 1, 3, 6, and 12 month after operation were (26.4±8.6)%, (53.3±6.7)%, (75.3±7.9)%, (78.5±8.5)%, respectively. The improvement rates of fatty liver, hyperlipidemia, hypertension and type 2 diabetes mellitus were 84.6%(33/39), 92.3%(12/13), 77.3%(17/22) and 82.4%(14/17).
  
  
  CONCLUSIONS
  Precise LRYGB is a modified and optimized traditional surgical technique which does not significantly increase the operative time. It is safe and feasible. The postoperative weight loss effect is significant and it can effectively improve the related co-morbidities.
authors: Department of Gastrointestinal Surgery, The First Affiliated Hospital, Jinan University, Guangzhou 510630, China. twcc@jnu.edu.cn.
authors: Hua
authors: H
authors: Yang
authors: Cunchuan
authors: C
authors: Wang
authors: Jingge
authors: J
authors: Yang
authors: Guo
authors: G
authors: Cao
authors: Hening
authors: H
authors: Zhai
authors: Shuqing
authors: S
authors: Yu
authors: Weixin
authors: W
authors: Huang
authors: Yong
authors: Y
authors: Huang
authors: Peng
authors: P
authors: Sun
authors: Yunlong
authors: Y
authors: Pan
mesh_terms: D003924:Diabetes Mellitus, Type 2; D015390:Gastric Bypass; D006801:Humans; D006973:Hypertension; D010535:Laparoscopy; D007902:Length of Stay; D024821:Metabolic Syndrome / Q000150:complications*; D009765:Obesity / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D015431:Weight Loss