ABSTRACT
With the rapid development of minimally invasive techniques,the emergence of three-dimensional (3D) laparoscope leading minimally invasive surgical accessPrecise Time.In the past 60 years,bariatric surgery provides a large number of clinical evidences to confirm:metabolic and bariatric surgery is lasting and effective for obesity combined with type 2 diabetes mellitus (T2DM),and it is also the best treatment method for T2DM.The author believes that 3D laparoscopic system can help beginners quickly master laparoscopic surgical techniques and shorten the learning curve to master the technical points.Compared with two-dimensional (2D) laparoscopic surgery,3D laparoscopic stereo vision can help experienced bariatric surgeons shorten operation time which is related to surgical procedures.The shorter surgical procedure in laparoscopic sleeve gastrectomy is hardly affecting the operation time.Because gastric bypass surgery is relatively complex,3D laparoscopic techniques which are fully utilized in gastric bypass surgery can effectively shorten the operation time.
ABSTRACT
Introducción: la obesidad es una epidemia de nuestro tiempo y la cirugía el único tratamiento efectivo en su solución. Objetivo: exponer la técnica Portie I como tratamiento quirúrgico de la obesidad mórbida y sus comorbilidades más frecuentes. Métodos: entre enero de 2000 y enero 2012 se realiza un estudio prospectivo, descriptivo longitudinal donde incluyeron 683 pacientes con obesidad mórbida tratados con la técnica Portie I. Se evaluaron los tipos de obesidad y las comorbilidades asociadas para diseñar la estrategia quirúrgica. Se muestran los resultados y se clasifican en tempranas y tardías las complicaciones posoperatorias ocurridas. Resultados: predominó el sexo femenino con 465 pacientes y 268 masculinos. Comorbilidades 66 (9,6 porciento) 4 mortalidad (0,5 porciento) pérdida del exceso de peso por encima de 80 porciento en el 75 porciento de los casos a los 5 años. El tiempo quirúrgico promedio fue 3,5 horas (rango de 2,74,3 horas). Conclusiones: La técnica quirúrgica de derivación gastro-bilio-pancreática Portie I es una opción segura y efectiva en la cirugía de la obesidad mórbida(AU)
Introduction: obesity is considered an epidemic nowadays. Though it has several ways of treatment, surgery has been proved to be the best option. Objective: to show Portie I technique for the surgical treatment of morbid obesity and its most frequent comorbidities. Methods: a prospective and descriptive longitudinal study is conducted between January 2000 and January 2012, in which 683 patients with morbid obesity treated with the Portie I surgical technique were included. Different types of obesities and the associated comorbodities were evaluated to set the appropriate surgical strategy. Post-surgical results and classifications of early and late complications are presented. Results: prevalence of 465 female patients over 268 male patients was significant, meanwhile comorbidity was 66 (9.6 percent), mortality was 4 (0.5 percent), weight loss was over 80 percent in 75 percent of the total of cases by the end of 5 years after surgery. Average surgical time was 3.5 hours. (Ranking 2.74.3 hours) Conclusions: the technique of biliopacreatic diversion is an effective and safe surgical option in the management of morbid obesity(AU)