Susmallian Sergio, Ezri Tiberiu, Elis Marina, Charuzi Ilan
Department of Surgery B, Wolfson Medical Center, Holon, affiliated with Sackler School of Medicine, Tel Aviv, Israel.
Obes Surg. 2003 Feb;13(1):128-31. doi: 10.1381/096089203321136728.
The aim of this retrospective study was to identify complications related to the access-port, after Lap-Band system placement by laparoscopy.
The records of 333 morbidly obese patients who underwent laparoscopic adjustable gastric banding (LAGB) were reviewed for the overall surgical complications. Data was further analyzed regarding the complications related to the access-port.
From January 1999 to December 2001, the overall complication-rate with the LAGB was 25.8%. 45 complications (13.5%) were related to the access-port in 34 patients following LAGB placement. The 45 access-port complications were distributed as follows: infection 51.1%, tubing disconnection 17.7%, dislodgment of the access-port 15.6%, leak of the reservoir 11.1%, and skin ulceration by the port 4.45%.
The integrity of the Lap-Band system is essential to achieve the objective of the operation: weight loss. Complications related to the access-port were relatively frequent, but preventable.
本回顾性研究的目的是确定腹腔镜下放置胃束带系统后与接入端口相关的并发症。
回顾了333例接受腹腔镜可调节胃束带术（LAGB）的病态肥胖患者的手术总体并发症记录。并进一步分析了与接入端口相关的并发症数据。
1999年1月至2001年12月，LAGB的总体并发症发生率为25.8%。34例患者在放置LAGB后出现45例（13.5%）与接入端口相关的并发症。45例接入端口并发症分布如下：感染51.1%，管道断开17.7%，接入端口移位15.6%，储液器渗漏11.1%，端口引起的皮肤溃疡4.45%。
胃束带系统的完整性对于实现手术目标（减肥）至关重要。与接入端口相关的并发症相对常见，但可预防。
