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Laparoendoscopic single-site adjustable gastric banding: technical considerations.
Subhashini M Ayloo1, Nicolas C Buchs, Pietro Addeo
1Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, IL 60612, USA. ayloosub@uic.edu
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|December 8, 2011
Summary
Laparoendoscopic single-site surgery (LESS) adjustable gastric banding is a feasible and safe bariatric surgery technique. While short-term results are promising, further research is needed to assess long-term outcomes and patient benefits.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Surgical Techniques
Background:
- Laparoscopic surgery aims to reduce invasiveness.
- Laparoendoscopic single-site surgery (LESS) offers further potential for minimally invasive procedures.
Purpose of the Study:
- To present a standardized technique for LESS adjustable gastric banding.
- To evaluate the feasibility and safety of this LESS approach.
Main Methods:
- Retrospective review of 25 patients undergoing LESS adjustable gastric banding (March 2009 - January 2010).
- Procedures utilized multiple low-profile trocars via a single incision with conventional laparoscopic instruments.
Main Results:
- Mean operative time was 78 minutes, with minimal blood loss (8 mL).
- Median hospital stay was short (0.3 days).
- No mortality was observed; one reoperation occurred for stoma obstruction.
Conclusions:
- LESS adjustable gastric banding using rigid instruments is feasible and safe.
- The technique presents challenges due to limited triangulation.
- Short-term outcomes are encouraging, but long-term follow-up is essential to weigh benefits against technical difficulties.
