Question:
What determines LAP or OPEN??

Hi, I have a high BMI of 58, 5'4 330 lbs. I am scheduled for LAP RNY at the end of the month, but have heard from some that with my BMI being over 50 that LAP is out of the question. I went to see my Surgeon, and he seems to think I would be ok for LAP, but he didn't examine me thoroughly , it was my first intial consult and it was just a question answer kind of appointment. I tend to carry most of my weight in my butt , hips and legs. Does BMI determine whether or not LAP is an option? Or is it the shape of your body and whether or not you carry a lot of weight in the stomach area? Thanks for any responses!    — [Anonymous] (posted on July 21, 2001)

July 21, 2001
The answer is: Yes! There are a lot of factors which determine whether the surgery can be done lap. Body shape, overall weight, scar tissue from previous surgeries can all impact whether a lap can be done. The skill and experience of your surgeon probably has the most significant impact on whether it can be done. I certainly have friends with BMI's in the 50 - 60 range who have had their surgery lap; and I have friends in the 40 - 50 range who have had it open. If your surgeon believes you're a good candidate, that's the only thing you need to worry about. Do be aware that at times a lap surgery needs to be converted mid-stream, so you can start your surgery thinking it will be lap, and end up with it being open due to unknown issues. Either way, the important part of the surgery will get done! - Kate -
   — kateseidel

July 21, 2001
My BMI was 47.4; my husband's BMI was 55; and my daughter's BMI was 69. Each of us had successful, uncomplicated lap RNY surgeries. The experience and expertise of the surgeon will be the key factor. Good luck!
   — Diana T.

July 22, 2001
I had a BMI of over 60. I had the Lap RnY 10 days ago. It all depends on body shape and where most of your weight is. I would trust your surgeon more than others who have had it done, It is all on a case by case basis and He is the one who should know. I wish you well on your surgery and a speedy recovery.
   — Kathy H.