Laparoscopic Placement of Adjustable Silicone Gastric Banding: Early Experience

F. Favretti, G. B. Cadière, G. Segato, G. Bruyns, F. De Marchi, J. Himpens, C. Belluco, M. Lise

Research output: Contribution to journalArticle

Abstract

Background: the authors describe a laparoscopic technique for the positioning of stoma adjustable silicone gastric banding (SASGB), which respects the main steps of the open procedure. Methods: (1) patient position: supine with thighs abducted and 30° reverse Trendelenburg; (2) Four 10 mm trocars (supra-umbilical, sub-xiphoid, right upper quadrant, left upper quadrant) and an 18 mm trocar (left subcostal); (3) exposure of the subcardial area; (4) measurement of the pouch; (5) dissection of the lesser and greater curvatures; (6) retrogastric tunnel; (7) introduction and placement of the band; (8) band closure and stoma calibration; (9) retention sutures. Results: results obtained in a first (1992) series of five patients who underwent the laparoscopic application of the regular SASGB and results of a second series (1993-1994) of seven patients in whom the new LAP-ASGB was utilized are reported. Conclusion: this new approach can represent a major achievement in bariatric surgery, as it combines the minimal invasiveness of the laparoscopic approach with the reversibility of SASGB.

Original languageEnglish
Pages (from-to)71-73
Number of pages3
JournalObesity Surgery
Volume5
Issue number1
DOIs
Publication statusPublished - 1995

Fingerprint

Silicones
Stomach
Surgical Instruments
Umbilicus
Bariatric Surgery
Supine Position
Thigh
Sutures
Calibration
Dissection

Keywords

  • gastric banding
  • Laparoscopy
  • morbid obesity
  • surgery

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Surgery
  • Nutrition and Dietetics

Cite this

Favretti, F., Cadière, G. B., Segato, G., Bruyns, G., De Marchi, F., Himpens, J., ... Lise, M. (1995). Laparoscopic Placement of Adjustable Silicone Gastric Banding: Early Experience. Obesity Surgery, 5(1), 71-73. https://doi.org/10.1381/096089295765558204

Laparoscopic Placement of Adjustable Silicone Gastric Banding : Early Experience. / Favretti, F.; Cadière, G. B.; Segato, G.; Bruyns, G.; De Marchi, F.; Himpens, J.; Belluco, C.; Lise, M.

In: Obesity Surgery, Vol. 5, No. 1, 1995, p. 71-73.

Research output: Contribution to journalArticle

Favretti, F, Cadière, GB, Segato, G, Bruyns, G, De Marchi, F, Himpens, J, Belluco, C & Lise, M 1995, 'Laparoscopic Placement of Adjustable Silicone Gastric Banding: Early Experience', Obesity Surgery, vol. 5, no. 1, pp. 71-73. https://doi.org/10.1381/096089295765558204
Favretti F, Cadière GB, Segato G, Bruyns G, De Marchi F, Himpens J et al. Laparoscopic Placement of Adjustable Silicone Gastric Banding: Early Experience. Obesity Surgery. 1995;5(1):71-73. https://doi.org/10.1381/096089295765558204
Favretti, F. ; Cadière, G. B. ; Segato, G. ; Bruyns, G. ; De Marchi, F. ; Himpens, J. ; Belluco, C. ; Lise, M. / Laparoscopic Placement of Adjustable Silicone Gastric Banding : Early Experience. In: Obesity Surgery. 1995 ; Vol. 5, No. 1. pp. 71-73.
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