Laparoscopic Adjustable Silicone Gastric Banding (Lap-Band®): How To Avoid Comlications |
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| Authors: | F Favretti G B Cadiere G Segato J Himpens L Busetto F De Marchi M Vertruyen G Enzi M De Luca M Lise |
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| Affiliation: | (1) Department of Surgery, University of Padova, Italy;(2) Department of Surgery, Free University, Bruxelles, Belgium;(3) Department of Surgery, University of Padova, Italy;(4) Department of Surgery, Free University, Bruxelles, Belgium;(5) Department of Internal Medicine, University of Padova, Italy;(6) Department of Surgery, University of Padova, Italy;(7) Department of Surgery, Free University, Bruxelles, Belgium;(8) Department of Internal Medicine, University of Padova, Italy;(9) Department of Surgery, University of Padova, Italy;(10) Department of Surgery, University of Padova, Italy |
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| Abstract: | Background: The laparoscopic application of LAPBAND is gaining widespread acceptance as a gastric restrictive procedure. At the same time the reported morbidities (i.e., gastric perforation, stomach and/or band slippage) are cause for some concern. Methods: From September 1993 until May 1997, 260 patients underwent LAP-BAND at the Department of Surgery at the University of Padova, Italy. Results: The mortality rate was zero and the morbidity rate requiring reoperation was 3.4% (stomach slippage, gastric perforation, erosion). In order to avoid complications the key points of the technique are reviewed: (1) reference points for dissection (equator of the balloon, left crus); (2) retrogastric tunnel within the layers of the phrenogastric ligament; (3) embedment of the band; (4) proper outlet calibration; and (5) retention sutures. Conclusions: Attention to technical details is of paramount importance for a safe, standardized and effective operation. |
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| Keywords: | gastric banding laparoscopy morbid obesity surgery surgical technique |
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