Obesity Surgery

, Volume 7, Issue 4, pp 352–358 | Cite as

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

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

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 banding laparoscopy morbid obesity surgery surgical technique 

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Copyright information

© Springer 1997

Authors and Affiliations

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

                      There are no affiliations available

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