Laparoscopic central pancreatectomy with Roux-en-Y pancreatojejunostomy

Laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy.

Congenital choledochal cysts are rare in adults. Due to the risk of developing cholangiocarcinoma, the current standard of care is complete excision of the cyst and reconstruction with hepaticojejunostomy. So far, more than 200 laparoscopic resections have been reported in adults, the majority being from Far Eastern countries over the last five years. Herein, the technique of laparoscopic type ...

Laparoscopic Roux-en-Y gastric bypass in morbidly obese adolescents.

BACKGROUND/PURPOSE Obesity has contributed significantly to morbidity and premature deaths in the adolescent population. Because many patients do not respond to dietary modification, exercise regimens, or pharmacologic treatment, weight reduction surgery has become a viable alternative, although the morbidity of conventional gastric bypass has tempered enthusiasm for this approach. Experience w...

Internal hernias after laparoscopic Roux-en-Y gastric bypass.

BACKGROUND Laparoscopic gastric bypass (Lap-RYGB) is an increasingly common procedure performed for severe obesity. Internal hernias are a potential problem associated with Lap-RYGB, and little is known about the clinical presentation and the diagnostic accuracy of this potentially serious complication. METHODS A retrospective review of 1,000 retrocolic Lap-RYGB was performed to identify thos...

Bowel obstruction after laparoscopic Roux-en-Y gastric bypass.

BACKGROUND Bowel obstruction has been frequently reported after laparoscopic Roux-en-Y gastric bypass (LRYGBP). The aim of this study was to review our experience with bowel obstruction following LRYGBP, specifically examining its etiology and management and to strategize maneuvers to minimize this complication. METHODS We retrospectively reviewed the charts of 9 patients who developed postop...

Small Bowel Obstruction After Laparoscopic Roux – En - Y Gastric Bypass