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Single and multiple incision laparoscopic adjustable gastric banding: a matched comparison
Saurav Chakravartty1, Beth Murgatroyd, David Ashton
1Department of Surgery (Firm 3), King's College Hospital NHS Foundation Trust, Denmark Hill, London, SE5 9RS, UK. schakravartty@nhs.net
Obesity Surgery
|August 23, 2012
Summary
Single incision laparoscopic adjustable gastric banding (SILS-AGB) is comparable to traditional laparoscopic adjustable gastric banding (LAGB). SILS-AGB patients required significantly less postoperative pain medication.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Surgical Outcomes
Background:
- Single incision laparoscopic adjustable gastric banding (SILS-AGB) is a developing technique.
- Limited comparative studies exist between SILS-AGB and conventional laparoscopic adjustable gastric banding (LAGB).
Purpose of the Study:
- To compare outcomes and analgesic requirements between SILS-AGB and LAGB.
- To evaluate the safety and feasibility of SILS-AGB.
Main Methods:
- Matched cohort study comparing SILS-AGB and LAGB.
- Analysis of operating times, conversions, analgesia needs, morbidity, and mortality.
- 46 matched pairs of patients were included.
Main Results:
- No significant difference in operating time between SILS-AGB and LAGB.
- SILS-AGB patients required significantly less opioid analgesia postoperatively.
- Morbidity, mortality, and readmission rates were similar between groups.
Conclusions:
- SILS-AGB is a safe and feasible alternative to LAGB.
- SILS-AGB demonstrates reduced postoperative analgesic demand.
- Further research on long-term outcomes is warranted.

