TY - JOUR
T1 - Laparoendoscopic single-site adjustable gastric banding
T2 - Technical considerations
AU - Ayloo, Subhashini M.
AU - Buchs, Nicolas C.
AU - Addeo, Pietro
AU - Giulianotti, Pier C.
PY - 2011/12
Y1 - 2011/12
N2 - PURPOSE: Recently, laparoendoscopic single-site surgery (LESS) has been proposed to minimize the invasiveness of laparoscopic surgery. We present our standardized technique of LESS adjustable gastric banding. METHODS: Data of 25 patients who underwent LESS adjustable gastric banding between March 2009 and January 2010 was reviewed retrospectively. All procedures were performed with multiple low-profile trocars through a single incision using conventional laparoscopic instruments. RESULTS: Mean operative time was 78 minutes. Mean blood loss was 8 mL and the median stay was 0.3 days (range, 0.1 to 3 d). No mortality was noted and there was 1 reoperation in the perioperative period due to stoma obstruction. CONCLUSIONS: LESS adjustable gastric banding with traditional rigid instruments is feasible and safe but requires working with limited triangulation. Short-term outcomes are promising but long-term follow-up is needed in weighing in the potential benefits to the patient against the technical challenges that arise with this technique.
AB - PURPOSE: Recently, laparoendoscopic single-site surgery (LESS) has been proposed to minimize the invasiveness of laparoscopic surgery. We present our standardized technique of LESS adjustable gastric banding. METHODS: Data of 25 patients who underwent LESS adjustable gastric banding between March 2009 and January 2010 was reviewed retrospectively. All procedures were performed with multiple low-profile trocars through a single incision using conventional laparoscopic instruments. RESULTS: Mean operative time was 78 minutes. Mean blood loss was 8 mL and the median stay was 0.3 days (range, 0.1 to 3 d). No mortality was noted and there was 1 reoperation in the perioperative period due to stoma obstruction. CONCLUSIONS: LESS adjustable gastric banding with traditional rigid instruments is feasible and safe but requires working with limited triangulation. Short-term outcomes are promising but long-term follow-up is needed in weighing in the potential benefits to the patient against the technical challenges that arise with this technique.
KW - LESS
KW - gastric banding
KW - laparoscopy
KW - minimally invasive surgery
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U2 - 10.1097/SLE.0b013e31823acd93
DO - 10.1097/SLE.0b013e31823acd93
M3 - Review article
C2 - 22146175
AN - SCOPUS:83055169694
VL - 21
SP - e295-e300
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
SN - 1530-4515
IS - 6
ER -