Laparoscopic vs Open Vertical Banded Gastroplasty for Severe Obesity
Laparoscopic Gastroplasty Safer and results in Shorter Postoperative Stay Than Open Vertical Band Surgery
| Bariatric Surgery information Laparoscopic vs Open Vertical Banded Gastroplasty for Severe Obesity |
Laparoscopic Gastroplasty Safer and results in Shorter Postoperative Stay Than Open Vertical Band Surgery |
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Weight Loss Surgery Information - Bariatric Research Studies |
Laparoscopic vs Open Vertical Banded Gastroplasty for Severe ObesityLaparoscopic surgery appears to offer rapid recovery and low postoperative morbidity. The aim of the present study was to assess the weight loss and health effects outcome of laparoscopic vertical banded gastroplasty (LVBG) in 154 obese patients with a follow-up of 12-60 months. Method 154 massively obese patients (132 female) with a mean +/- SEM body mass index (BMI) of 43.4 +/- 0.6 kg/m2 were followed prospectively for an average of 31.7 +/- 1.4 months. Laparoscopic vertical banded gastroplasty was performed using 5 trocars placed in a standard fashion for laparoscopic upper gastrointestinal surgery. A 4-row stapler was used for the vertical staple-line and a stretched polytetrafluoroethylene (Gore-tex) band was used to reinforce the outlet. After the first 67 cases, the procedure was altered so that a 5-cm length was marked on the band. Results Conversion to open surgery was performed in 33 cases. All patients lost weight. At 60 months follow-up, the postoperative weight was similar in the open and laparoscopic group.The subjects where 5 cm length was marked on the band had a significantly better weight loss at 36 months (30.4 +/- 1.2). Both early (< 1 month postoperative) and late (> 1 month postoperative) complications were more common in the group converted to open surgery. Postoperative stay was shorter in the laparoscopic group. Conclusion Laparoscopic vertical banded gastroplasty can be performed safely and results in shorter postoperative stay than open vertical banded gastroplasty. With adherence to surgical technique (5-cm band circumference), weight-loss is maintained at an adequate level. Health complications after laparoscopic vertical banded gastroplasty do not exceed open vertical banded gastroplasty. Source: Laparoscopic Bariatric Weight Loss Surgery |