Thirty months experience with laparoscopic adjustable gastric banding

被引:12
作者
Paganelli, M [1 ]
Giacomelli, M [1 ]
Librenti, MC [1 ]
Pontiroli, AE [1 ]
Ferla, G [1 ]
机构
[1] Hosp San Raffaele, Dept Surg 1, I-20132 Milan, Italy
关键词
morbid obesity; laparoscopy; adjustable gastric banding;
D O I
10.1381/096089200321643430
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: Since June 1996 we performed laparoscopic adjustable silicone gastric banding (LASGB), because of low invasivity, absence of malabsorption, reversibility, and postoperative regulation. Materials and Methods: Criteria included body mass index (BMI) >40 or >35 with serious obesity-related conditions. 154 patients underwent LASGB, BMI ranged from 35 to 65.7 (mean 43.7+/-6.2). Results: The laparoscopic procedure was successfully completed in 150 patients (97.4%). One patient was converted to the laparotomic procedure because of hepatomegaly; 4 patients had to be converted for gastric laceration during the laparoscopic approach. In one of these patients, the band was removed 7 days later for sepsis, followed by an uneventful postoperative course. The mean length of postoperative hospitalization was 2.3+/-0.9 days. Per cent of excess weight loss was 42.5+/-22.4 after 1 year. Conclusions: LASGB was feasible and effective.
引用
收藏
页码:269 / 271
页数:3
相关论文
共 7 条
[1]   The influence of a new timing strategy of band adjustment on the vomiting frequency and the food consumption of obese women operated with laparoscopic adjustable silicone gastric banding (LAP-BAND) [J].
Busetto, L ;
Pisent, C ;
Segato, G ;
De marchi, F ;
Favretti, F ;
Lise, M ;
Enzi, G .
OBESITY SURGERY, 1997, 7 (06) :505-512
[2]   Conversions and complications in 185 laparoscopic adjustable silicone gastric banding cases [J].
Chelala, E ;
Cadiere, GB ;
Favretti, F ;
Himpens, J ;
Vertruyen, M ;
Bruyns, J ;
Maroquin, L ;
Lise, M .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1997, 11 (03) :268-271
[3]   Laparoscopic adjustable silicone gastric banding (LAP-BAND(R)): How to avoid complications [J].
Favretti, F ;
Cadiere, GB ;
Segato, G ;
Himpens, J ;
Busetto, L ;
DeMarchi, F ;
Vertruyen, M ;
Enzi, G ;
DeLuca, M ;
Lise, M .
OBESITY SURGERY, 1997, 7 (04) :352-358
[4]   POSTGASTROPLASTY RECOVERY OF IDEAL BODY-WEIGHT NORMALIZES GLUCOSE AND INSULIN METABOLISM IN OBESE WOMEN [J].
LETIEXHE, MR ;
SCHEEN, AJ ;
GERARD, PL ;
DESAIVE, C ;
LEFEBVRE, PJ .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1995, 80 (02) :364-369
[5]  
National Institutes of Health, 1991, OBES SURG, V1, P257, DOI DOI 10.1381/096089291765560962
[6]  
PAGANO R, 1994, INT J OBESITY, V18, P665
[7]   PERIOPERATIVE MANAGEMENT OF THE OBESE PATIENT [J].
SHENKMAN, Z ;
SHIR, Y ;
BRODSKY, JB .
BRITISH JOURNAL OF ANAESTHESIA, 1993, 70 (03) :349-359