Advertisement

Obesity Surgery

, Volume 19, Issue 12, pp 1711–1715 | Cite as

Single Incision Transumbilical Laparoscopic Roux-en-Y Gastric Bypass: A First Case Report

  • Chih-Kun HuangEmail author
  • Jer-Yiing Houng
  • Chen-Ju Chiang
  • Yaw-Sen Chen
  • Po-Huang Lee
Case Report

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.

Keywords

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

References

  1. 1.
    Sugerman HJ, Kellum JM, Engle KM, et al. Gastric bypass for treating severe obesity. Am J Clin Nutr. 1992;55:560S–6S.CrossRefGoogle Scholar
  2. 2.
    Benotti PN, Forse RA. The role of gastric surgery in the multidisciplinary management of severe obesity. Am J Surg. 1995;169:361–7.CrossRefGoogle Scholar
  3. 3.
    Pories WJ, MacDonald KG Jr, Morgan EJ, et al. Surgical treatment of obesity and its effect on diabetes: 10-year follow up. Am J Clin Nutr. 1992;55:582S–5S.CrossRefGoogle Scholar
  4. 4.
    Demaria EJ, Jamal MK. Surgical options for obesity. Gastroenterol Clin North Am. 2005;34(1):127–42.CrossRefGoogle Scholar
  5. 5.
    Wittgrove AC, Clark GW, Tremblay LJ. Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg. 1994;4(4):353–7.CrossRefGoogle Scholar
  6. 6.
    Huang CK, Lee YC, Hung CM, et al. Laparoscopic Roux-en-Y gastric bypass for morbidly obese Chinese patients: learning curve, advocacy and complications. Obes Surg. 2008;18(7):776–81.CrossRefGoogle Scholar
  7. 7.
    de la Fuente SG, Demaria EJ, Reynolds JD, et al. New developments in surgery: natural orifice transluminal endoscopic surgery (NOTES). Arch Surg. 2007;142(3):295–7.CrossRefGoogle Scholar
  8. 8.
    McGee MF, Rosen MJ, Marks J, et al. A primer on natural orifice transluminal endoscopic surgery: building a new paradigm. Surg Innov. 2006;13(2):86–93.CrossRefGoogle Scholar
  9. 9.
    Flora ED, Wilson TG, Martin IJ, et al. A review of natural orifice transluminal endoscopic surgery (NOTES) for intra-abdominal surgery: experimental models, techniques, and applicability to the clinical setting. Ann Surg. 2008;247(4):583–602.CrossRefGoogle Scholar
  10. 10.
    Martínez AP, Bermejo MA, Cortś JC, et al. Appendectomy with a single trocar through the umbilicus: results of our series and a cost approximation. Cir Pediatr. 2007;20(1):10–4.PubMedGoogle Scholar
  11. 11.
    Tacchino R, Greco F, Matera D. Single-incision laparoscopic cholecystectomy: surgery without a visible scar. Surg Endosc. 2009;23(4):896–9.CrossRefGoogle Scholar
  12. 12.
    Cuesta MA, Berends F, Veenhof AA. The “invisible cholecystectomy”: a transumbilical laparoscopic operation without a scar. Surg Endosc. 2008;22:1211–3.CrossRefGoogle Scholar
  13. 13.
    Reavis KM, Hinojosa MW, Smith BR, et al. Single-laparoscopic incision transabdominal surgery sleeve gastrectomy. Obes Surg. 2008;18(11):1492–4.CrossRefGoogle Scholar
  14. 14.
    Saber AA, Elgamal MH, Itawi EA, et al. Single incision laparoscopic sleeve gastrectomy (SILS): a novel technique. Obes Surg. 2008;18(10):1338–42.CrossRefGoogle Scholar
  15. 15.
    Nguyen NT, Hinojosa MW, Smith BR, et al. Single laparoscopic incision transabdominal (SLIT) surgery-adjustable gastric banding: a novel minimally invasive surgical approach. Obes Surg. 2008;18:1628–31.CrossRefGoogle Scholar
  16. 16.
    Mintz Y, Horgan S, Savu MK, et al. Hybrid natural orifice transluminal surgery (NOTES) sleeve gastrectomy: a feasibility study using an animal model. Surg Endosc. 2008;22:1798–802.CrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2009

Authors and Affiliations

  • Chih-Kun Huang
    • 1
    • 2
    Email author
  • Jer-Yiing Houng
    • 2
  • Chen-Ju Chiang
    • 3
  • Yaw-Sen Chen
    • 1
  • Po-Huang Lee
    • 1
  1. 1.Department of General SurgeryE-Da Hospital/I-Shou UniversityKaohsiungTaiwan
  2. 2.Department of Chemical Engineering, Institute of Biotechnology and Chemical EngineeringI-Shou UniversityKaohsiungTaiwan
  3. 3.Postgraduate Programs in ManagementI-Shou UniversityKaohsiungTaiwan

Personalised recommendations