In most patients, Roux-en-Y can be performed laparoscopically. When a laparoscopic operation is performed, a small video camera is inserted into the abdomen. The surgeon views the procedure on a separate video monitor. Most laparoscopic surgeons believe this gives them better visualization and access to key anatomical structures.
The camera and surgical instruments are inserted through small incisions made in the abdominal wall. This approach is less invasive because it replaces the need for one long incision to open the abdomen. Studies show that patients having had laparoscopic weight loss surgery experience less pain after surgery resulting in easier breathing and lung function and higher overall oxygen levels. Other realized benefits with laparoscopy have been fewer wound complications such as infection or hernia, and patients returning more quickly to pre-surgical levels of activity. We also perform this surgery with robotic assistance. This approach allows us to have 3D visualization and even fewer incisions than the laparoscopic approach.
Laparoscopic procedures for weight loss surgery employ the same internal technique as their “open” counterparts and produce similar excess weight loss. Not all patients are candidates for this approach and this will be addressed during their meeting with the surgeon.