Obesity Surgery

, Volume 7, Issue 4, pp 352–358

Laparoscopic Adjustable Silicone Gastric Banding (Lap-Band®): How To Avoid Comlications

  • Authors
  • F Favretti
  • G B Cadiere
  • G Segato
  • J Himpens
  • L Busetto
  • F De Marchi
  • M Vertruyen
  • G Enzi
  • M De Luca
  • M Lise

DOI: 10.1381/096089297765555610

Cite this article as:
Favretti, F., Cadiere, G.B., Segato, G. et al. OBES SURG (1997) 7: 352. doi:10.1381/096089297765555610

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.

gastric bandinglaparoscopymorbid obesitysurgerysurgical technique

Copyright information

© Springer 1997