Laparoendoscopic Single-site Adjustable Gastric Banding: Technical Considerations

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Abstract

Purpose:

Recently, laparoendoscopic single-site surgery (LESS) has been proposed to minimize the invasiveness of laparoscopic surgery. We present our standardized technique of LESS adjustable gastric banding.

Methods:

Data of 25 patients who underwent LESS adjustable gastric banding between March 2009 and January 2010 was reviewed retrospectively. All procedures were performed with multiple low-profile trocars through a single incision using conventional laparoscopic instruments.

Results:

Mean operative time was 78 minutes. Mean blood loss was 8 mL and the median stay was 0.3 days (range, 0.1 to 3 d). No mortality was noted and there was 1 reoperation in the perioperative period due to stoma obstruction.

Conclusions:

LESS adjustable gastric banding with traditional rigid instruments is feasible and safe but requires working with limited triangulation. Short-term outcomes are promising but long-term follow-up is needed in weighing in the potential benefits to the patient against the technical challenges that arise with this technique.

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