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“Pretty much across the board (it has) better outcomes for patients,” he added.

He said close to 90 percent of gastric bypass surgery patients are now having their procedures done laparoscopically. “The consensus is now overwhelming to suggest a laparoscopic approach first,” Morton, the study’s senior author, told Reuters Health. “For patients considering weight loss surgery, especially gastric bypass, they should have a very thorough conversation with their surgeon about the planned approach, and a laparoscopic approach should be the preferred approach if possible,” Courcoulas concluded. The records didn’t have information on longer-term complications or on how overweight patients were going into the surgery. And their procedures cost slightly more, with a price tag of $35,000 compared to just under $33,000. People getting open surgery also had longer hospital stays - 3.5 days versus 2.4 days, on average, the researchers reported in the Archives of Surgery.

One in 500 obese patients in the open surgery group died during or shortly after the procedure, compared to one in 1,000 in the laparoscopic group. Looking back at safety records for the procedures, the researchers found about 19 percent of patients undergoing open surgery had at least one complication - such as developing pneumonia or needing a blood transfusion - compared to just over 12 percent of those who had less-invasive surgery. hospitals each year between 20, including 41,000 open gastric bypass surgeries and 115,000 laparoscopic surgeries. John Morton and his colleagues analyzed data on weight loss procedures done at about 1,000 U.S. The findings support past research suggesting the less-invasive procedure is safer, and are “important” because they reflect complications and deaths on a national level, according to Courcoulas.ĭr. “From the patient’s perspective, there’s much less pain, so they can walk and move and return to normal activities sooner.”

Anita Courcoulas, a professor and bariatric surgeon from the University of Pittsburgh Medical Center, who wasn’t part of the new research team. “From a surgeon’s perspective, the ability to see (during) the surgery is enhanced doing it laparoscopically,” said Dr.

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For laparoscopic procedures, only a few small cuts in the stomach are made and a tiny camera is inserted to allow the surgeon to get a full view during the procedure, as compared to the one large cut made during open surgery. Patients also left the hospital sooner - and with a slightly smaller medical bill - after so-called laparoscopic gastric bypass procedures, researchers from Stanford University in California found.ĭuring gastric bypass, the surgeon creates a pouch out of the top portion of the stomach, then connects it to the small intestine so fewer calories are absorbed during digestion. Jazmine Raygoza (C) starts to wake up in the hands of anesthesiologist Andrea Grilli (L) as Surgical First Assistant Tony Covello finishes up her gastric banding operation at Rose Medical Center in Denver June 20, 2011.

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