Complications in the First Year of Laparoscopic Gastric Banding: Is It Acceptable?

Background: From December 1997 to December 1998, 25 laparoscopic adjustable silicone gastric banding (LASGB) procedures were done without previous experience in bariatric surgery. Body mass index (BMI) ranged from 37 to 57 kg/m² (average 45.5 kg/m²). Methods: Retrospective analysis of the 1-year experience was done. Operating time was measured, and BMI and complications were reviewed. Results: Five complications were observed. There was a complication rate of 20%. On two occasions, it was gastric wall slippage, and both were corrected laparoscopically. In one patient, the intususception of the gastric wall through the band resulted after profuse vomiting. Removal of the band was necessary, with conversion to an open procedure. On two occassions, the infection of the port-site was observed, in one of these patients, port removal was necessary. No antibiotic prophylaxis was used. Conclusion: Despite lack of experience in bariatric surgery in these laparoscopic surgeons, the complications with LASGB appear to be acceptable. Although prior bariatric surgical experience is preferable.