Minimally Invasive Trocar Placement in Obesity Surgery

Jeffrey Hazey60 enrolled

Overview

During surgery for obesity, minimally invasive endoscopy can be performed and can assist the surgeon in determining surgical incision sites.

Transgastric endoscopic access, without laparoscopic guidance, to the peritoneal cavity can be performed safely and guide trocar placement in morbidly obese patients undergoing Roux-en-y gastric bypass.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Masking

NONE

Enrollment

Conditions

Obesity

Interventions

Transgastric access to the abdomenPROCEDURE

Upper endoscopy, gastrotomy created with a needle knife followed by lower endoscopy.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Elective laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery Exclusion Criteria: * Lack of consent * History of previous gastric surgery * Contraindication to upper endoscopy

Locations (1)

The Ohio State University Medical Center/Center for Minimally Invasive Surgery

Columbus, Ohio, United States

Outcomes

Primary Outcomes

The achievement of safe transgastric access to the abdomen; the ability to visualize the abdominal wall to assist in safe trocar placement in the morbidly obese patient.

Time frame: At surgery

Secondary Outcomes

Bacterial contamination analysis; results compared to previous study.

Time frame: Surgery

Data from ClinicalTrials.gov

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