Laparoendoscopic single-site adjustable gastric banding: Technical considerations

Subhashini M. Ayloo, Nicolas C. Buchs, Pietro Addeo, Pier C. Giulianotti

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)e295-e300
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Issue number6
StatePublished - Dec 2011
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery


  • LESS
  • gastric banding
  • laparoscopy
  • minimally invasive surgery


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