Publications by authors named "Philippe Keller"
Laparoscopic management of a left hepatic vein injury during one -step laparoscopic Roux-en-Y gastric bypass after adjustable gastric banding removal: A case report.
Int J Surg Case Rep
May 2022
Article Synopsis
- A 39-year-old woman had trouble losing weight after getting a gastric band surgery, so doctors decided to do a different type of surgery called Roux-en-Y gastric bypass.
- During the surgery, they accidentally hurt a blood vessel called the left hepatic vein but were able to fix it quickly with stitches.
- The woman stayed in the hospital for two days and ended up losing a lot of weight over the next ten years.
Background: Surgical revision rates are high, reaching 41% at 10 years after Laparoscopic gastric band (LAGB). Surgical revision may include re-banding, laparoscopic sleeve gastrectomy (LSG), duodenal switch (DS), or laparoscopic Roux-en-Y gastric bypass (LRYGB). LRYGBP has been proposed as the procedure of choice after failure of restrictive procedures with better results than any other procedure.
View Article and Find Full Text PDFBackground: The closure of the mesenteric defects (CMD) in Roux-en-Y gastric bypass (RYGB) reduces the risk of small bowel obstruction (SBO) due to internal hernia but might be associated with an increased risk of early SBO triggered by the jejunojejunal anastomosis (JJS) kinking. The aim of this study was to assess how enlarging the JJS with a bidirectional linear stapling can aid in avoiding the risk of early SBO by kinking.
Materials And Methods: This retrospective cohort study concerns 1327 patients who underwent RYGB with CMD between May 2007 and August 2016.
Background: This study aimed primarily to evaluate the safety of digestive running suture (in gastrojejunal and antecolic jejunojejunal anastomosis closure) using unidirectional absorbable barbed suture (V-Loc 180) in laparoscopic Roux-en-Y gastric bypass (LRYGB) and secondarily to assess the efficacy of V-Loc 180 in reducing operative time.
Methods: A prospective cohort study of 315 consecutive patients who underwent LRYGB was performed between October 2009 and October 2012 using an identical procedure technique. For the first 76 patients, a multifilament absorbable suture was used to assess the gastrojejunal anastomosis and the antecolic jejunal suture.