Single incision laparoscopic adjustable gastric banding: 111 cases

Area of Science:

• Bariatric Surgery
• Minimally Invasive Surgery
• Surgical Innovation

Background:

• Single-incision surgery is gaining popularity in bariatric procedures.
• Technical challenges exist in operating on obese patients and with single-incision techniques.
• This study details the initial experience with 111 single-incision gastric band insertions.

Purpose of the Study:

• To evaluate the feasibility and safety of single-incision laparoscopic adjustable gastric banding (SI-LAGB) in morbidly obese patients.
• To assess operative outcomes, including operative time, pain, and length of stay.
• To identify factors influencing the need for additional ports.

Main Methods:

• Prospective data collection from 111 patients undergoing SI-LAGB between June 2009 and October 2010.
• A single transverse incision, multichannel single port, and pars flaccida technique were utilized.
• Visual analog pain scores and other perioperative data were recorded.

Main Results:

• Median operative time was 65 minutes, with 0.9% conversion to multi-port laparoscopy.
• Median postoperative pain score was 2.5/10 at 23 hours; pain correlated with operative time.
• Median length of stay was 24 hours, with minimal morbidity and no mortality.

Conclusions:

• SI-LAGB is a safe procedure for morbidly obese patients with low morbidity and mortality.
• The technique shows a high success rate in this initial series.
• Consideration of an additional port is advised for operative times exceeding 60 minutes, particularly in male patients.