Single incision transumbilical laparoscopic roux-en-Y gastric bypass: A first case report

Chih Kun Huang*, Jer Yiing Houng, Chen Ju Chiang, Yaw Sen Chen, Po Huang Lee

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

63 Scopus citations

Abstract

Roux-en-Y gastric bypass, which is based on the dual mechanisms of restriction and mal-absorption, is considered to be one of the gold standard surgeries for treatment of morbid obesity. However, the classic laparoscopic approach requires five to seven incisions for multiple trocar placement. Recently, single incision laparoscopic surgery has been adopted for performing appendectomies, cholecystectomies, sleeve gastrectomies, and adjustable gastric band surgeries. Here, we described the first case of a patient receiving laparoscopic Roux-en-Y gastric bypass through a single transumbilical incision. The operative time was 170 min. There were no intra-operative complications; the patient did very well postoperatively and was discharged 2 days later. Single incision laparoscopic surgery has been viewed as an alternative to natural orifice transluminal endoscopic surgery. When performed via the transumbilical route, it can make the abdominal wound scarless and cosmetically more acceptable.

Original languageEnglish
Pages (from-to)1711-1715
Number of pages5
JournalObesity Surgery
Volume19
Issue number12
DOIs
StatePublished - 12 2009
Externally publishedYes

Keywords

  • Bariatric surgery
  • Minimally invasive surgery
  • Roux-en-Y gastric bypass
  • Single laparoscopic incision transabdominal surgery

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