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Surgical Endoscopy

, Volume 14, Issue 10, pp 902–907 | Cite as

Hand-assisted laparoscopic vertical banded gastroplasty

Early results
  • J. I. S. Bleier
  • A. S. Krupnick
  • D. Kreisel
  • H. K. Song
  • E. F. Rosato
  • N. N. Williams
Original Articles

Abstract

Background

Minimally invasive hand-port-assisted laparoscopic vertical banded gastroplasty has the potential to reduce postoperative complications after bariatric surgery.

Methods

We analyzed the postoperative course of 46 hand-port-assisted laparoscopic vertical banded gastroplasties (LVBG) completed between January 1998 and April 1999.

Results

The operating time for the LVBG was shorter (140.8±6.0 vs 180.2±6.3 min; p<0.05). Individuals were able to ambulate sooner (1.36±0.09 vs 2.44±0.16 days; p<0.05), and start oral intake earlier (2.7±0.27 vs 3.7±0.17 days; p<0.05) than the open vertical banded gastroplasty (VBG) controls. Three staple line leaks were detected in this group. Two leaks resolved without clinical sequelae, but one patient developed intraabdominal sepsis. This complication extended the average hospital stay to 6.8±2.00 days, as compared to 7.71±0.18 days for historical controls. By discounting this patient from the analysis, we arrive at a more representative length of hospitalization of 4.82±0.34 days (p<0.05).

Conclusions

LVBG offers a good alternative to the standard open VBG. Although this procedure has a relatively short learning curve, it should be done at centers with an interest in bariatric surgery.

Key words

Laparoscopic surgery Vertical banded gastroplasty Hand-port laparoscopy Bariatric surgery Laparoscopy 

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Copyright information

© Springer-Verlag 2000

Authors and Affiliations

  • J. I. S. Bleier
    • 1
  • A. S. Krupnick
    • 1
  • D. Kreisel
    • 1
  • H. K. Song
    • 1
  • E. F. Rosato
    • 1
  • N. N. Williams
    • 1
  1. 1.Department of Surgery, Division of Gastrointestinal SurgeryHospital of the University of PennsylvaniaPhiladelphiaUSA

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