Laparoscopic Roux-en-Y gastric bypass

"...it is performed through several smaller incisions...the surgeon performs the surgery by watching the video monitor."

Laparoscopic Roux-en-Y gastric bypass procedure:

Laparoscopic Roux-en-Y gastric bypass is identical to the traditional gastric bypass except that instead of being performed through an incision extending from the lowest aspect of the breastbone (xiphoid process) to the umbilicus (navel), it is performed through several smaller incisions each measuring about an inch or less in length. At the New York Bariatrics, we generally use five small incisions.

A laparoscope connected to a video camera is inserted into the abdominal cavity and the surgical field is visualized on high resolution video monitors in the operating room. Long thin surgical instruments are inserted through the other small incisions and the surgeon performs the surgery by watching the video monitor. As in the open procedure a skilled assistant surgeon is also required. At the New York Bariatrics, a fully trained and qualified surgeon serves as the assistant.

The advantages to performing the gastric bypass laparoscopically are that it yields cosmetically superior results and the recovery is faster. Some long-term problems, such as incisional hernias, may also occur less frequently. One disadvantage of laparoscopy is that sometimes, because of difficulty in visualization, the operation must be converted to an open procedure in order to complete the operation safely. This decision, of course, is made during the course of the operation while the patient is under anesthesia, so the patient must be aware of this possibility before the surgery starts. Another disadvantage is that the incidence of leakage from the surgical staple lines may be more common in the postoperative period. Leakage from the staple line is a serious complication and often necessitates additional surgery, usually using a traditional incision, and prolonged hospitalization, and sometimes even death

Nonetheless, the idea of avoiding a large surgical incision is compelling, because of the decreased amount of pain experienced and the shorter recovery time. The possibility of performing laparoscopic RNY gastric bypass will be discussed at the initial meeting with the bariatric doctors Weber or Weber

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