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N o v e m b e r 1 2 - 1 3 , 2 0 1 8 | R o m e , I t a l y
Joint Event on
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
Surgery and Anesthesia 2018 & Euro Gastro Congress 2018 Case Reports in Surgery and Invasive Procedures| Volume 2
&
GASTROENTEROLOGY
3rd International Conference on
SURGERY AND ANESTHESIA
International Conference on
Enas Al Alawi, Case Rep Surg Invasive Proced 2018, Volume 2
REDUCED TROCARS OMEGA LOOP BYPASS
-SAFETY & FEASIBILITY
Enas Al Alawi
Algarhoud Private Hospital, Unites Arab Emirates
Laparoscopic Omega Loop bypass (LOLB) has proven to be a safe and suc-
cessful bariatric procedure. Typically, the procedure is performed using
five to seven trocars. The urge to minimize surgical trauma and pain has led
to the development of reduced trocars procedure, which has been shown to
be a safe and less-invasive. We describe the feasibility and safety of 3-trocar
approach in performing Laparoscopic omega loop gastric bypass.
Methods: 367 patients underwent 3 trocars LOLB between February 2011 and
February 2017. The same surgeon performed all procedures. The umbilicus
was the point of optical port for all patients with a 5mm trocar and the same
operative technique and perioperative protocol were used in all patients. Data
were prospectively collected and retrospectively studied. Prior to surgery, all
patients underwent an evaluation by a multidisciplinary team. Postoperatively
all patients had routine laboratory blood tests and oral water soluble contrast
study the next day after surgery to rule out gastric leak or bleeding. A proton
pump inhibitor was prescribed for 3 months. Follow-up consisted of 4 visits to
the clinic during the first postoperative year and annual follow-up thereafter.
The collected data included the operative time, subjective pain scores, length
of stay, operative complications. Data regarding excess weight loss were col-
lected after 1 year follow-up. The parameters were compared to 529 patients
who had 5 to 7 trocars technique in the same time period.
Results: A total of 367 triple-incision LOLB procedures were performed. The
procedures were successfully performed in all patients. Mean operating time
was 88 minutes. One patient required conversion to laparotomy, two patients
leaked and required reoperation, one patient developed a pelvic abscess one
week postoperatively and 3 patients dropped hemoglobin and required blood
transfusion. There were no mortalities.
Conclusion: Three trocar laparoscopic omega loop bypass is safe, technically
feasible and reproducible. Operative time was acceptable and post-operative
recovery and complications were comparable to 5-7 trocars technique.
Enas Al Alawi is a laparoscopic & bariatric surgeon cur-
rently working in Dubai, United Arab Emirates. Graduated
from the National University of Ireland and fellowship
from the Royal college of surgeons in Ireland. Completed
surgical training in Ireland, UK and USA.
BIOGRAPHY