Kim Eungkook, Kim Dohyoung, Lee Sangkuon, Lee Hongchan
Department of Surgery, St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Obes Surg. 2009 Apr;19(4):500-3. doi: 10.1007/s11695-008-9713-6. Epub 2008 Oct 7.
Laparoscopic adjustable gastric banding (LAGB) is the most commonly performed bariatric operation in Korea. Occasionally, patients have expressed their dissatisfaction with visible scars on the access port area and other port entries after undergoing LAGB.
Fifty-one "minimal-scar" LAGB operations were performed beginning in 2006 with a goal of minimizing visible scars, and 31 LAGB operations with a conventional port placement technique were performed previously during the first 3 years of our practice (2003-2005). We retrospectively assessed access port complications and difficulties in saline filling for band adjustment procedures using the two different port access techniques.
Operating time, hospital stay, etc., were similar in both groups. The incidences of port complications (infection, seroma, malposition, etc.) were not increased by employing a port in the supraumbilical area using the minimal-scar LAGB technique.
The use of minimal-scar LAGB resulted in a natural-looking and nearly invisible scar around the umbilicus. We submit that it is a feasible and attractive method that facilitates easy access for postoperative band adjustment.
腹腔镜可调节胃束带术（LAGB）是韩国最常施行的减肥手术。偶尔，患者在接受LAGB手术后会对进入端口区域及其他端口入口处明显的疤痕表示不满。
自2006年起进行了51例“微创疤痕”LAGB手术，目的是尽量减少可见疤痕，并且在我们开展手术的前3年（2003 - 2005年）期间，先前采用传统端口放置技术进行了31例LAGB手术。我们回顾性评估了使用两种不同端口接入技术在进行束带调节程序时的进入端口并发症及盐水填充困难情况。
两组的手术时间、住院时间等相似。采用微创疤痕LAGB技术在脐上区域使用端口，并未增加端口并发症（感染、血清肿、位置不当等）的发生率。
使用微创疤痕LAGB在脐周形成了外观自然且几乎不可见的疤痕。我们认为这是一种可行且有吸引力的方法，便于术后束带调节时的轻松接入。
