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[A new technique for laparoscopic placement of the adjustable gastric band (LAP-band) for preventing slippage]
R Weiner1, D Wagner, R Blanco-Engert
1Chirurgische Klinik, Krankenhauses Nordwest Frankfurt/Main. R.Weiner@em.uni-frankfurt.de
Background:
Slippage (SP) of the stomach is the most common postoperative complication after laparoscopic adjustable silicone gastric banding (LAS-GB) for morbid obesity.
Methods And Patients:
A randomized prospective study was constructed in order to determine whether laparoscopic placement behind the cardia (RKP) is associated with a lower incidence of postoperative SP and pouch dilation than after a retrogastric placement (RGP) of the LAP band using a common technique. Morbidly obese patients presenting for LASGB were randomized to undergo either an RKP (n = 50) or an RGP (n = 51).
Results:
There were three postoperative SP and three pouch dilations in the RGP group versus no postoperative complication in the RKP group.
Conclusions:
The placement of LAP band by the RKP technique is safe and followed by a lower frequency of postoperative complications than with the RGP technique. Clear anatomical landmarks are a benefit to the education and learning curve of LASGB.
