Laparoscopic DS Results at Pacific Laparoscopy
Since 1993, Drs. Robert and John Rabkin have performed more than 1500 Duodenal Switch procedures. This number includes more than 1013 Laparoscopic Duodenal Switch procedures, and 424 Open Duodenal Switch procedures performed using a conventional midline incision. There were 61 Open Conversions to Duodenal Switch in patients with failed older bariatric surgical procedures, and 5 Laparoscopic Conversions to Duodenal Switch for the same indication.
Our experience with the initial 1437 patients is shown below.:
- There were 1139 women and 298 men with a mean age of 48.
- The mean body mass index was 49 (range 36-118 kg/m2).
- 41% of patients were Superobese (BMI greater than 50 Kg/m2).
- The largest male weighed 845 pounds with a BMI of 108.5.
- The largest female weighed 625 pounds with a BMI of 118.
- The mean operating time: 188 minutes (range 105-330)
- The mean length of stay: 4 days (range 2-22 days, excluding one outlier).
Complications in the initial patients:
Conversion from Laparoscopic to Open DS |
9 |
Late revisions due to inadequate or excessive weight loss |
72 |
LapDS operative deaths |
1 |
Precent excess weight loss:
Resolved Medical Co-Morbidities
- 97% diabetes resolved
- 96% high cholesterol resolved
- 90% sleep apnea resolved
- 85% hypertension resolved
- 60% asthma resolved
- 47% arthritis resolved
