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Obesity Surgery

, Volume 19, Issue 10, pp 1442–1446 | Cite as

Early Experience with Single-Access Transumbilical Adjustable Laparoscopic Gastric Banding

  • Alan A. SaberEmail author
  • Tarek H. El-Ghazaly
Technical Innovation

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.

Keywords

Single incision surgery Single port access Laparoendoscopic single site Natural orifice transumbilical Transumbilical Laparoscopic banding Bariatric surgery 

Notes

Acknowledgement

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

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Copyright information

© Springer Science + Business Media, LLC 2009

Authors and Affiliations

  1. 1.General Surgery, Kalamazoo Center for Medical StudiesMichigan State UniversityKalamazooUSA

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