Laparoscopic single-site surgery for placement of an adjustable gastric band: initial experience

Abstract

In our experience, LESS surgery for adjustable gastric banding shows this technique to be both feasible and safe for selected patients. Although technical limitations exist that will be improved upon, further studies are needed to compare LESS surgery for placement of an adjustable gastric band with traditional laparoscopic techniques.

The initial experience of dual port laparoscopy-assisted total gastrectomy as a reduced port surgery for total gastrectomy

“…The most important merit of RPS is cosmesis [3,4,6,9,11,13]. Therefore, this cosmetic merit must be retained as long as possible when performing RPS for total gastrectomy.…”

“…In recent years, reduced port surgery (RPS), including single port surgery (SPS), in which fewer ports are used than in conventional procedures, has become increasingly popular in various surgical fields [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. There have been reports describing the application of RPS to laparoscopic sleeve gastrectomy for morbid obesity or laparoscopic partial gastrectomy for gastrointestinal stromal tumors, and the use of RPS has recently also been reported in laparoscopy-assisted distal gastrectomy for gastric cancer [1,7,[15][16][17].…”

Bariatric single incision laparoscopic surgery – review of initial experience

“…One, by Teixeira et al [7], was excluded from the analysis as the presented data on 10 patients was further included by the authors in larger published case series [8]. Seven articles were case reports or series of cases of laparoscopic adjustable gastric banding (LAGB) using one of the SILS techniques (a total of 87 patients) [8][9][10][11][12][13][14].…”

“…As most of the studies were 'feasibility studies' they did not formally assess postoperative pain. Nevertheless, one study reported decreased opioid analgesics use in the postoperative period [7]. Kim et al …”

Single‐Port Surgery

“…Simpler procedures for bariatric surgery, such as adjustable gastric banding, have been described recently [27] , and single access was suggested for more advanced bariatric techniques, including sleeve gastrectomy and gastric bypass. Conventional laparoscopic Roux -en -Y gastric bypass (LRYGB) is the gold standard for bariatric surgery.…”