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World J Gastroenterol. Nov 7, 2014; 20(41): 15135-15143
Published online Nov 7, 2014. doi: 10.3748/wjg.v20.i41.15135
Laparoscopic revolution in bariatric surgery
Magnus Sundbom
Magnus Sundbom, Department of Surgical Sciences, Uppsala University, SE-751 85 Uppsala, Sweden
Author contributions: Sundbom M solely contributed to this paper.
Correspondence to: Magnus Sundbom, MD, PhD, Department of Surgical Sciences, Uppsala University, SE-751 85 Uppsala, Sweden. magnus.sundbom@surgsci.uu.se
Telephone: +46-18-6110000 Fax: +46-18-586860
Received: November 27, 2013
Revised: April 8, 2014
Accepted: May 25, 2014
Published online: November 7, 2014
Processing time: 348 Days and 11.4 Hours
Abstract

The history of bariatric surgery is investigational. Dedicated surgeons have continuously sought for an ideal procedure to relieve morbidly obese patients from their burden of comorbid conditions, reduced life expectancy and low quality of life. The ideal procedure must have low complication risk, both in short- and long term, as well as minimal impact on daily life. The revolution of laparoscopic techniques in bariatric surgery is described in this summary. Advances in minimal invasive techniques have contributed to reduced operative time, length of stay, and complications. The development in bariatric surgery has been exceptional, resulting in a dramatic increase of the number of procedures performed world wide during the last decades. Although, a complex bariatric procedure can be performed with operative mortality no greater than cholecystectomy, specific procedure-related complications and other drawbacks must be taken into account. The evolution of laparoscopy will be the legacy of the 21st century and at present, day-care surgery and further reduction of the operative trauma is in focus. The impressive effects on comorbid conditions have prompted the adoption of minimal invasive bariatric procedures into the field of metabolic surgery.

Keywords: Laparoscopy; Bariatric surgery; Minimal invasive surgery; Gastric bypass; Duodenal switch; Gastric banding; Metabolic surgery

Core tip: Dedicated surgeons have continuously sought for an ideal procedure to relieve morbidly obese patients from their burden of comorbid conditions, reduced life expectancy and low quality of life. The ideal procedure must have low complication risk, both in short- and long-term. Advances in minimal invasive techniques have contributed to reduced operative time, length of stay, and complications. The development in bariatric surgery has been exceptional. The evolution of laparoscopy will be the legacy of the 21st century and at present, day-care surgery and further reduction of the operative trauma is in focus.