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Mini-Gastric Bypass by Mini-Laparotomy: A Cost-Effective Alternative in the Laparoscopic Era

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Background

Laparoscopic mini-gastric bypass (MGB) is being increasingly performed worldwide. Results of MGB by mini-laparotomy (minilap MGB) are hereby reported.

Methods

126 patients undergoing minilap MGB from October 2004 to October 2006, were reviewed at an academic institution.

Results

Mean age was 35 ± 11.4 years (range 15–72), preoperative BMI was 44 ± 6.9 kg/m2 (range 35–61.8) and 80 (63.4%) were women. Co-morbidities were present in 42 (33.3%). Operative time was 144 ± 15.8 minutes (range 120–160) and length of hospital stay was 3.32 ± 0.62 days (range 2–18).There was no hospital mortality, and the inhospital complication rate was 4.7%. No anastomotic leakage occurred, and the incidence of wound sepsis was 2.3%. The mean total cost of the procedure was 3408 ± 547 USD (range 2967–6876). Five patients (3.9%) developed incisional hernias and 3 (2.3%) marginal ulcers. BMI at 6 months was 33.0 ± 3.1 kg/m2 (range 26.8–43.5, P < 0.001) compared with preoperative value. At 1 year, mean excess weight loss was 68.4% and comorbidities resolved in 85%.

Conclusion

Minilap MGB is a simple, safe, effective and low-cost gastric bypass. It represents an attractive cost-effective alternative to laparoscopic MGB.

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Authors and Affiliations

  1. Department of Digestive Surgery, Hôtel-Dieu de France Hospital, Bd Alfred Naccache, Achrafieh B.P:, 166830, Beirut, Lebanon

    Roger Noun MD, Eddy Riachi MD, Smart Zeidan MD & Bassam Abboud MD

  2. Department of Anesthesiology, Hôtel-Dieu de France Hospital, Beirut, Lebanon

    Viviane Chalhoub MD & Alexandre Yazigi MD

Authors
  1. Roger Noun MD
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  2. Eddy Riachi MD
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  3. Smart Zeidan MD
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  4. Bassam Abboud MD
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  5. Viviane Chalhoub MD
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  6. Alexandre Yazigi MD
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Corresponding author

Correspondence to Roger Noun MD.

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Noun, R., Riachi, E., Zeidan, S. et al. Mini-Gastric Bypass by Mini-Laparotomy: A Cost-Effective Alternative in the Laparoscopic Era. OBES SURG 17, 1482–1486 (2007). https://doi.org/10.1007/s11695-008-9426-x

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  • DOI: https://doi.org/10.1007/s11695-008-9426-x

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