Results of laparoscopic treatment of morbid obesity : About 27 cases

Abstract

Background: Prevalence of obesity is increasing steadily. It exposes the patient to numerous complications and represents a serious public health issue. Various treatments were tried. Surgery is actually a credible alternative. Many techniques can be made by laparoscopic approach.
Aim : To evaluate early and late results of laparoscopic treatment of morbid obesity by two techniques: gastric banding adjustable and gastric by-pass.
Methods : From May 2001 to July 2007, 27 patients were laparoscopically operated on for severe obesity in our department.
Twenty four patients were treated with a gastric banding and 3 patients with gastric bypass. The primary endpoint was: excessive weight loss (EWL), BMI variations and patients’ satisfaction. The secondary endpoints were mortality, morbidity and conversion.
Results : The mean age was 36 years. There were 4 males and 23 females. The mean preoperative weight was 122,4 kg (range:87-152) and the mean body mass index (BMI) was 42,5 kg/m2 (range 36,5 - 52 kg/m2). The mean operating time was 129 minutes (range: 50–300). The mean hospital stay was 4.76 days (range: 3–8). There were no postoperative deaths. Early complication was present in 3 patients. Late complications were present in one patient. No conversion to laparotomy was ncessary. BMI decreased from 42.9 to 31 kg/m2 and EWL reached 43 %;
Conclusion: The results of our experience are encouraging with an acceptable complication rate and no death. Laparoscopic treatment can be done with good results.