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Early Experience with Single-Access Transumbilical Adjustable Laparoscopic Gastric Banding

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Abstract

Background

Laparoscopic adjustable gastric banding is the most common bariatric procedure performed worldwide; since FDA approval was granted for it in June 2001, the procedure has been steadily gaining popularity in the USA. We herein report our early experience with single-access transumbilical laparoscopic gastric banding. This approach to the procedure is performed mainly through a single incision in the umbilicus. This single incision is also utilized for the implantation of the port for subsequent band adjustments.

Methods

Eight patients were carefully selected (body mass indices between 35 and 45 kg/m2 with peripheral obesity), and each underwent laparoscopic gastric banding using this single-incision transumbilical technique. The same surgeon performed all surgical interventions. For each of the eight patients, the same perioperative protocol and operative techniques were implemented.

Results

Seven out of eight attempted single-access transumbilical laparoscopic gastric banding procedures were successfully performed using this technique. Mean operative time was 105 min. One out of the eight patients required the insertion of an additional trocar. There were no mortalities or postoperative complications noted during the mean follow-up period of 2.6 months.

Conclusion

Single-access transumbilical laparoscopic adjustable gastric banding is a safe and feasible evolving approach in a selected group of patients. The intraumbilical location of the implanted port facilitates access for subsequent adjustments and provides patients with an improved cosmetic outcome.

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References

  1. Cunneen SA. Review of meta-analytic comparisons of bariatric surgery with a focus on laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2008;4(3 Suppl):S47–55.

    Article  Google Scholar 

  2. Ren CJ, Weiner M, Allen JW. Favorable early results of gastric banding for morbid obesity: the American experience. Surg Endosc. 2004;18(3):543–6.

    Article  CAS  Google Scholar 

  3. Hinojosa MW, Varela JE, Parikh D, et al. National trends in use and outcome of laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2009;5(2):150–5.

    Article  Google Scholar 

  4. Holloway JA, Forney GA, Gould DE. The Lap-Band is an effective tool for weight loss even in the United States. Am J Surg. 2004;188(6):659–62.

    Article  Google Scholar 

  5. Saber AA, Elgamal MH, Itawi EA, et al. Single incision laparoscopic sleeve gastrectomy (SILS): a novel technique. Obes Surg. 2008;18(10):1338–42.

    Article  Google Scholar 

  6. Piskun G, Rajpal S. Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus. J Laparoendosc Adv Surg Tech Part A. 1999;9(4):361–4.

    Article  CAS  Google Scholar 

  7. Navarra G, Pozza E, Occhionorelli S, et al. One-wound laparoscopic cholecystectomy. Br J Surg. 1997;84(5):695.

    Article  CAS  Google Scholar 

  8. Rispoli G, Armellino MF, Esposito C. One-trocar appendectomy. Surg Endosc. 2002;16(5):833–5.

    Article  CAS  Google Scholar 

  9. Cuesta MA, Berends F, Veenhof AA. The "invisible cholecystectomy": a transumbilical laparoscopic operation without a scar. Surg Endosc. 2008;22(5):1211–3.

    Article  Google Scholar 

  10. Merchant AM, Cook MW, White BC, et al. Transumbilical Gelport access technique for performing single incision laparoscopic surgery (SILS). J Gastrointest Surg. 2009;13(1):159–62.

    Article  Google Scholar 

  11. Katkhouda N, Moazzez A, Popek S, Towfigh S, Cohen B, Lam B, et al. A new and standardized approach for trocar placement in laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2009;23(3):659–62.

    Article  Google Scholar 

  12. Romanelli JR, Mark L, Omotosho PA. Single port laparoscopic cholecystectomy with the TriPort system: a case report. Surg Innov. 2008;15(3):223–8.

    Article  Google Scholar 

  13. Tonouchi H, Mohri Y, Tanaka K, et al. Laparoscopic intragastric surgery using GelPort. J Laparoendosc Adv Surg Tech A. 2006;16(2):146–8.

    Article  Google Scholar 

  14. Stein RJ, White WM, Goel RK, et al. Robotic Laparoendoscopic Single-Site Surgery Using GelPort as the Access Platform. Eur Urol. 2009; in press

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Acknowledgement

We would like to express our appreciation to Nanette Townsend for her endeavors in the preparation of this manuscript.

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Authors and Affiliations

  1. General Surgery, Kalamazoo Center for Medical Studies, Michigan State University, 1000 Oakland Drive, Kalamazoo, MI, 49008, USA

    Alan A. Saber & Tarek H. El-Ghazaly

Authors
  1. Alan A. Saber
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  2. Tarek H. El-Ghazaly
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Correspondence to Alan A. Saber.

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Saber, A.A., El-Ghazaly, T.H. Early Experience with Single-Access Transumbilical Adjustable Laparoscopic Gastric Banding. OBES SURG 19, 1442–1446 (2009). https://doi.org/10.1007/s11695-009-9905-8

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  • DOI: https://doi.org/10.1007/s11695-009-9905-8

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