Daniel Knewitz, Jorge Cornejo Aguilar, Shalyn Fullerton, Lorna Evans, Steven Bowers, Enrique Elli
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Primary Roux-en-Y Gastric Bypass with Concurrent Paraesophageal Hernia Repair in Obese Patients.
Background and objectives: Additional support for the safety and feasibility of combined paraesophageal hernia repair and Roux-en-Y gastric bypass is needed. We sought to analyze both the short- and long-term outcomes of patients who underwent this combined operation.
Methods: Single institution retrospective analysis of overall morbidity and mortality of patients who underwent primary Roux-en-Y gastric bypass with paraesophageal hernia repair from January 2014 to July 2023.
Results: Fifty-two patients met inclusion criteria. Mean preoperative body mass index was 40 kg/m2. Most patients underwent a robotic approach. Six and three patients were noted to have minor and major postoperative complications, respectively. Ample comorbidity resolution and weight loss outcomes were noted. A robotic approach was associated with a significantly decreased operative time.
Conclusion: Minimally invasive paraesophageal hernia repair with concurrent Roux-en-Y gastric bypass is a feasible and effective procedure, which leads to significant weight loss and associated comorbidity resolution. This simultaneous operation may be accomplished safely and potentially faster via a robotic approach.
期刊介绍：
JSLS, Journal of the Society of Laparoscopic & Robotic Surgeons publishes original scientific articles on basic science and technical topics in all the fields involved with laparoscopic, robotic, and minimally invasive surgery. CRSLS, MIS Case Reports from SLS is dedicated to the publication of Case Reports in the field of minimally invasive surgery. The journals seek to advance our understandings and practice of minimally invasive, image-guided surgery by providing a forum for all relevant disciplines and by promoting the exchange of information and ideas across specialties.
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