Division of General, Minimally Invasive, and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois.
Surg Obes Relat Dis. 2013 Sep-Oct;9(5):696-700. doi: 10.1016/j.soard.2012.07.005. Epub 2012 Jul 25.
In an effort to provide better cosmesis for patients, there has been a surge recently in the use of laparoendoscopic single-site adjustable gastric banding. Few data, however, are available on the long-term wound complications resulting from this technique. We conducted a retrospective review of patients to identify the extent of wound complications found during a minimum follow-up period of 2 years after laparoendoscopic single-site adjustable gastric banding. The complications evaluated included infection, hernia rates, and port and tubing complications. All the laparoendoscopic single-site adjustable gastric banding cases were performed at University of Illinois Medical Center by a single surgeon.
Twenty-five patients underwent single-site laparoscopic adjustable gastric banding from March 2009 to January 2010, and the data were reviewed retrospectively. The single incision was made with multifascial trocar placement using conventional laparoscopic instruments. The patients were followed up during band adjustments and clinic visits and by telephone interview.
Six months after surgery, 1 patient required port removal because of port site infection with internalization of the tubing. A second patient experienced a foul-smelling, clear discharge and was treated with antibiotics, with no additional consequences. No incisional hernias or flipped ports were noted.
In our experience, laparoendoscopic single-site adjustable gastric banding produced a low rate of port and wound site complications in patients during a minimum follow-up period of 2 years. We believe this is a valid alternative to the standard procedure, providing cosmetic advantages and a low wound complication rate in morbidly obese patients.
为了给患者提供更好的美容效果，最近腹腔镜单部位可调胃束带术的应用急剧增加。然而，关于该技术长期伤口并发症的数据很少。我们对患者进行了回顾性研究，以确定腹腔镜单部位可调胃束带术后至少 2 年的随访期间发现的伤口并发症的程度。评估的并发症包括感染、疝发生率以及端口和管的并发症。所有腹腔镜单部位可调胃束带术均由一名外科医生在伊利诺伊大学医学中心进行。
2009 年 3 月至 2010 年 1 月，25 例患者接受了单部位腹腔镜可调胃束带术，对数据进行了回顾性分析。单切口采用多筋膜穿刺器放置，使用常规腹腔镜器械。通过带调整和就诊以及电话访谈对患者进行随访。
术后 6 个月，1 例患者因端口部位感染导致带管内置而需要取出端口。另一位患者出现有臭味的透明分泌物，经抗生素治疗后无进一步后果。未发现切口疝或翻转端口。
根据我们的经验，腹腔镜单部位可调胃束带术在至少 2 年的随访期间，患者的端口和伤口部位并发症发生率较低。我们认为，这是标准手术的有效替代方法，为病态肥胖患者提供了美容优势和较低的伤口并发症发生率。
