DeMaria, Eric J.
There is no more technically demanding laparoscopic procedure than laparoscopic proximal gastric bypass. Furthermore, training and skill in advanced laparoscopy are inadequate background for developing a program since the bariatric patient presents many complex issues in management for the surgeon. Thus, the novice must master the skills of two disciplines: advanced laparoscopy and bariatric surgical care. The authors bring forward their significant experience in bariatric surgery and lessons learned from the development of their laparoscopic obesity surgery program in order to provide a resource to surgeons committed to bringing safe and effective laparoscopic treatment to their morbidly obese patients.
1. Introduction 2. Indications and Patient Selection for Bariatric Surgery 3. Laparoscopic Instruments for Bariatric Surgery 4. State of the Art Endosuite® for Minimal Access Surgery 5. Effects of Increased Intra-Abdominal Pressure on Laparoscopic Surgery in Severe Obesity 6. Prophylaxis ofVenous Thromboembolism in Morbidly Obese Patients 7. Laparoscopic Adjustable Silicone Gastric Banding 8. Laparoscopic Vertical Banded Gastroplasty 9. Hand-Assisted Laparoscopic Roux-en-Y Gastric Bypass 10. Laparoscopic Roux-en-Y Gastric Bypass: Detailed Technical Issues 11. Laparoscopic Gastric Bypass: Clinical Outcomes 12. Postoperative Management and Complications after Laparoscopic Roux-en-Y Gastric Bypass