Angrisani L, Furbetta F, Doldi S B, Basso N, Lucchese M, Giacomelli F, Zappa M, Di Cosmo L, Veneziani A, Turicchia G U, Alkilani M, Forestieri P, Lesti G, Puglisi F, Toppino M, Campanile F, Capizzi F D, D'Atri C, Sciptoni L, Giardiello C, Di Lorenzo N, Lacitignola S, Belvederesi N, Marzano B, Bernate P, Iuppa A, Borrelli V, Lorenzo M
The Collaborative Study Group for the Lap Band System and BIB-GILB, c/o Fondazione Institute for Spreading and Valorisation of Scientific Culture (IDIS), via Coroglio 156, 80124 Naples, Italy.
Surg Endosc. 2003 Mar;17(3):409-12. doi: 10.1007/s00464-002-8836-4. Epub 2002 Dec 4.
The Lap Band system procedure is currently the most common bariatric surgical procedure worldwide. This is an interim report of the experience of the 27 Italian centers participating in the national collaborative study group for Lap Band (GILB).
An electronic database was specifically created. It was mailed and e-mailed to all of the surgeons now performing the laparoscopic gastric banding operation in Italy.
Beginning in January 1996, 1893 patients were recruited for the study. There were 1534 women and 359 men with a mean body mass index (BMI) of (range 30.4-83.6) and a mean age of 37.8 +/- 10.9 years (range; 17-74). The mortality rate has been 0.53% (n = 10), mainly due to cardiovascular complications (myocardial infarction, pulmonary embolism). The laparotomic conversion rate has been 3.1% (59/1893) and was higher in superobese patients (BMI>50) than in to morbidly obese patients (BMI <50) (p <0.05). Postoperative complications occurred in 193 patients (10.2%), including tube port failure (n = 79; 40.9%), gastric pouch dilation (GPD) (n = 93; 48.9%), and gastric erosion (n = 21, 10.8%). Most GPD (65.5%) occurred during the first 50 patients treated at each center. The incidence of GPD decreased as the surgeons acquired more experience. Surgery for complications was often performed by laparoscopic access, rarely via laparotomy. No death was recorded as a consequence of surgery to treat complications. Weight loss has been evaluated at the following intervals: 6, 12, 24, 36, 48, 60, and 72 months, with BMI 37.9, 33.7, 34.8, 34.1, 32.7, 34.8, and 32.
The Lap Band system procedure has a very low mortality rate and a low morbidity rate and it yields satisfactory weight loss. Surgery for complications can be performed safely via laparoscopic access.
Lap Band系统手术目前是全球最常见的减肥手术。这是参与意大利Lap Band全国协作研究组（GILB）的27个意大利中心经验的中期报告。
专门创建了一个电子数据库。通过邮件和电子邮件发送给目前在意大利进行腹腔镜胃束带手术的所有外科医生。
从1996年1月开始，招募了1893名患者进行研究。其中有1534名女性和359名男性，平均体重指数（BMI）为（范围30.4 - 83.6），平均年龄为37.8 +/- 10.9岁（范围17 - 74岁）。死亡率为0.53%（n = 10），主要归因于心血管并发症（心肌梗死、肺栓塞）。开腹手术转换率为3.1%（59/1893），超级肥胖患者（BMI>50）高于病态肥胖患者（BMI<50）（p<0.05）。193例患者（10.2%）发生术后并发症，包括管道端口故障（n = 79；40.9%）、胃囊扩张（GPD）（n = 93；48.9%）和胃糜烂（n = 21，10.8%）。大多数GPD（65.5%）发生在每个中心治疗的前50例患者中。随着外科医生经验的增加，GPD的发生率降低。并发症手术通常通过腹腔镜入路进行，很少通过开腹手术。未记录因并发症治疗手术导致的死亡。在以下时间间隔评估体重减轻情况：6、12、24、36、48、60和72个月，BMI分别为37.9、33.7、34.8、34.1、32.7、34.8和32。
Lap Band系统手术死亡率极低，发病率低，体重减轻效果令人满意。并发症手术可通过腹腔镜入路安全进行。
