Abstract
Background: Bariatric surgery is playing an increasingly important role in our society. The surgical approach should be chosen in consistent with the patients' problem. The purpose of this study was to compare surgical outcomes in patients who underwent laparoscopic Scopinaro's biliopancreatic diversion (BPD) versus open BPD in our institute experience. Methods: Eighty patients were enrolled and divided in two groups: laparoscopic group (VL) and open group (OP), with 40 patients in each group during two calendar years 2006-2007. We performed the same technique for both groups using the same staplers for anastomosis, with the same measurements for alimentary and common limbs in both groups. We compared the following variables in the two groups: operative time, intra and early postoperative complications, postoperative pain, consumption of analgesics, recovery of intestinal function, days to removal of NG tube and start of oral intake, hospital stay, and late complication-incisional hernia incidence. Results: We found statistically significant reduction in favor of laparoscopic group regarding reduction in postoperative pain, consumption of analgesics, incidence of incisional hernia, operative time, and hospital stay-with early removal of NG tube and early oral intake. We did not find any statistically significant difference regarding intra, immediate and early postoperative complications and recovery of intestinal functions. Conclusions: Laparoscopic BPD is a safe technique; has good results without affecting the duration of the intervention; and ensures less postoperative pain with rapid functional recovery, less hospital stay, and drastic reduction of incisional hernia incidence.
| Original language | English |
|---|---|
| Pages (from-to) | 1348-1353 |
| Number of pages | 6 |
| Journal | Obesity Surgery |
| Volume | 20 |
| Issue number | 10 |
| DOIs | |
| Publication status | Published - Oct 2010 |
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Keywords
- Bariatric surgery
- Biliopancreatic diversion
- Laparoscopy
- Metabolic syndrome
- Minimally invasive surgery
- Obesity surgery
ASJC Scopus subject areas
- Surgery
- Endocrinology, Diabetes and Metabolism
- Nutrition and Dietetics
Cite this
Laparoscopic versus open biliopancreatic diversion : A prospective comparative study. / Ceriani, Valerio; Lodi, Tiziana; Porta, Andrea; Gaffuri, Paolo; Faleschini, Edoardo; Roncaglia, Oscar; Osio, Chiara; Coladonato, Massimiliano; Elnabil-Mortada, Ahmed.
In: Obesity Surgery, Vol. 20, No. 10, 10.2010, p. 1348-1353.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparoscopic versus open biliopancreatic diversion
T2 - A prospective comparative study
AU - Ceriani, Valerio
AU - Lodi, Tiziana
AU - Porta, Andrea
AU - Gaffuri, Paolo
AU - Faleschini, Edoardo
AU - Roncaglia, Oscar
AU - Osio, Chiara
AU - Coladonato, Massimiliano
AU - Elnabil-Mortada, Ahmed
PY - 2010/10
Y1 - 2010/10
N2 - Background: Bariatric surgery is playing an increasingly important role in our society. The surgical approach should be chosen in consistent with the patients' problem. The purpose of this study was to compare surgical outcomes in patients who underwent laparoscopic Scopinaro's biliopancreatic diversion (BPD) versus open BPD in our institute experience. Methods: Eighty patients were enrolled and divided in two groups: laparoscopic group (VL) and open group (OP), with 40 patients in each group during two calendar years 2006-2007. We performed the same technique for both groups using the same staplers for anastomosis, with the same measurements for alimentary and common limbs in both groups. We compared the following variables in the two groups: operative time, intra and early postoperative complications, postoperative pain, consumption of analgesics, recovery of intestinal function, days to removal of NG tube and start of oral intake, hospital stay, and late complication-incisional hernia incidence. Results: We found statistically significant reduction in favor of laparoscopic group regarding reduction in postoperative pain, consumption of analgesics, incidence of incisional hernia, operative time, and hospital stay-with early removal of NG tube and early oral intake. We did not find any statistically significant difference regarding intra, immediate and early postoperative complications and recovery of intestinal functions. Conclusions: Laparoscopic BPD is a safe technique; has good results without affecting the duration of the intervention; and ensures less postoperative pain with rapid functional recovery, less hospital stay, and drastic reduction of incisional hernia incidence.
AB - Background: Bariatric surgery is playing an increasingly important role in our society. The surgical approach should be chosen in consistent with the patients' problem. The purpose of this study was to compare surgical outcomes in patients who underwent laparoscopic Scopinaro's biliopancreatic diversion (BPD) versus open BPD in our institute experience. Methods: Eighty patients were enrolled and divided in two groups: laparoscopic group (VL) and open group (OP), with 40 patients in each group during two calendar years 2006-2007. We performed the same technique for both groups using the same staplers for anastomosis, with the same measurements for alimentary and common limbs in both groups. We compared the following variables in the two groups: operative time, intra and early postoperative complications, postoperative pain, consumption of analgesics, recovery of intestinal function, days to removal of NG tube and start of oral intake, hospital stay, and late complication-incisional hernia incidence. Results: We found statistically significant reduction in favor of laparoscopic group regarding reduction in postoperative pain, consumption of analgesics, incidence of incisional hernia, operative time, and hospital stay-with early removal of NG tube and early oral intake. We did not find any statistically significant difference regarding intra, immediate and early postoperative complications and recovery of intestinal functions. Conclusions: Laparoscopic BPD is a safe technique; has good results without affecting the duration of the intervention; and ensures less postoperative pain with rapid functional recovery, less hospital stay, and drastic reduction of incisional hernia incidence.
KW - Bariatric surgery
KW - Biliopancreatic diversion
KW - Laparoscopy
KW - Metabolic syndrome
KW - Minimally invasive surgery
KW - Obesity surgery
UR - http://www.scopus.com/inward/record.url?scp=77956972961&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77956972961&partnerID=8YFLogxK
U2 - 10.1007/s11695-010-0140-0
DO - 10.1007/s11695-010-0140-0
M3 - Article
C2 - 20383755
AN - SCOPUS:77956972961
VL - 20
SP - 1348
EP - 1353
JO - Obesity Surgery
JF - Obesity Surgery
SN - 0960-8923
IS - 10
ER -