WHAT ARE THE REASONS THAT THE SURGERY MIGHT POSSIBLY NOT BE DONE COMPLETELY LAPAROSCOPICALLY?
There are many reasons that surgery might not be able to be completed laparoscopically, but they are unusual, especially in your weight range and without prior surgery. Higher weight ranges (BMI over 60) make laparoscopic surgery more difficult, but not impossible. As stated above, Dr. Smith always reserves the right to open if it would make your surgery better in any way, but this is a very unusual circumstance. Dr. Smith has completed laparoscopic bariatric procedures on many patients who have had extensive open surgery previously.
