학술논문
Laparoscopic Adjustable Silicone Gastric Banding (Lap-Band(r)): How To Avoid Comlications
Document Type
Report
Author abstract
Author abstract
Author
Source
Obesity Surgery. August, 1997, Vol. 7 Issue 4, p352, 7 p.
Subject
Language
English
ISSN
0960-8923
Abstract
Background: The laparoscopic application of LAPBAND is gaining widespread acceptance as a gastric restrictive procedure. At the same time the reported morbidities (i.e., gastric perforation, stomach and/or band slippage) are cause for some concern. Methods: From September 1993 until May 1997, 260 patients underwent LAP-BAND at the Department of Surgery at the University of Padova, Italy. Results: The mortality rate was zero and the morbidity rate requiring reoperation was 3.4% (stomach slippage, gastric perforation, erosion). In order to avoid complications the key points of the technique are reviewed: (1) reference points for dissection (equator of the balloon, left crus) (2) retrogastric tunnel within the layers of the phrenogastric ligament (3) embedment of the band (4) proper outlet calibration and (5) retention sutures. Conclusions: Attention to technical details is of paramount importance for a safe, standardized and effective operation.