Staplerless Laparoscopic Gastric Bypass: a New Option in Bariatric Surgery
Authors: de Menezes Ettinger, João; Ramos, Almino; Ázaro, Euler; Galvão-Neto, Manoel; Mello, Carlos; Galvão, Manoela; Amaral, Paulo; Carlo, Andrei; Fahel, Edvaldo
Source: Obesity Surgery, Volume 16, Number 5, May 2006 , pp. 638-645(8)
Abstract:The staplerless Roux-en-Y gastric bypass (RYGBP) is a new option in bariatric surgery. The first to describe it was Himpens (2004) utilizing the LigaSure Atlas™ (LSA) in a series of 10 patients. The laparoscopic RYGBP is performed utilizing the LSA for the gastric and jejunal partition; after that, an imbricating running suture is performed to ensure stomach and bowel hermetic closure. All anastomoses are hand-sewn. Technical disadvantages are: learning curve; complications related to suture failure; possible thermal/electricity related injuries; longer operating time. Advantages are: stapler-associated bleeding, leaks, staple-line disruption, and fistulas are avoided; cost reduction. The staplerless RYGBP is complex; the surgeon involved requires expertise and ability. This technique will evolve and will be used by more surgeons. It is a new option for the surgeon preoccupied with costs, which is particularly important in developing countries.
Document Type: Research Article
Publication date: 2006-05-01