New York University Langone Medical Center, New York, NY 10016, USA.
Obes Surg. 2013 Mar;23(3):332-7. doi: 10.1007/s11695-012-0811-0.
Laparoscopic adjustable gastric banding (LAGB) is safe and effective. This less invasive option involving fewer incisions and umbilical approaches is coined as single-incision laparoscopic surgery (SILS). Over the last 3 years, we performed 46 % of our LAGBs as SILS with excellent results.
This is a retrospective review of 1,644 LAGBs performed between 2008 and 2010. A total of 756 were performed as SILS bands (46 %) and 888 as standard (non-SILS) (54 %). Data points compared include operative time, percent of excess weight loss at 1 and 2 years, complication, and re-operation rates.
Groups were matched by age, initial BMI, and gender: 584 non-SILS and 710 SILS patients. The average operating time was 44.3 ± 19.6 min for SILS and 51.1 ± 19.4 min for non-SILS (p < 0.001). The 12-month percent excess weight loss (%EWL) for SILS was 45.0 ± 19.1; it was 40.7 ± 17.5 for non-SILS (p = 0.003). The 24 month %EWL for SILS was 54.4 ± 16.3; it was 46.4 ± 16.1 for non-SILS (p = 0.10). Complication rates were 5.6 % (40 of 710) for SILS and 4.5 % (26 of 584) for non-SILS (p = 0.34). The 30-day readmission/re-operation rates are 1 % (seven of 710) for SILS and 1.5 % (nine of 584) for non-SILS (p = 0.37). There was one death in the SILS group.
We have been performing more SILS bands over time. Our operative times and weight loss figures show that it is an efficient and effective means of weight loss. Furthermore, the data also show that the SILS approach is safe and does not increase operative time. In conclusion, SILS laparoscopic adjustable gastric banding is a safe and effective means of attaining weight loss in selected patients.
腹腔镜可调节胃束带术（LAGB）是安全有效的。这种微创选择涉及较少的切口和脐部入路，被称为单切口腹腔镜手术（SILS）。在过去的 3 年中，我们有 46%的 LAGB 采用 SILS 进行，效果非常好。
这是一项对 2008 年至 2010 年间进行的 1644 例 LAGB 的回顾性研究。共有 756 例采用 SILS 带（46%）和 888 例标准（非 SILS）（54%）进行。比较的数据点包括手术时间、1 年和 2 年时的超重体重减轻百分比、并发症和再手术率。
两组患者的年龄、初始 BMI 和性别相匹配：非 SILS 组 584 例，SILS 组 710 例。SILS 组的平均手术时间为 44.3±19.6 分钟，非 SILS 组为 51.1±19.4 分钟（p<0.001）。SILS 组的 12 个月超重体重减轻百分比（%EWL）为 45.0±19.1；非 SILS 组为 40.7±17.5（p=0.003）。SILS 组的 24 个月 %EWL 为 54.4±16.3；非 SILS 组为 46.4±16.1（p=0.10）。SILS 组的并发症发生率为 5.6%（40/710），非 SILS 组为 4.5%（26/584）（p=0.34）。SILS 组的 30 天再入院/再手术率为 1%（7/710），非 SILS 组为 1.5%（9/584）（p=0.37）。SILS 组有 1 例死亡。
我们一直在增加 SILS 带的应用。我们的手术时间和减肥数据表明，这是一种有效和有效的减肥方法。此外，数据还表明 SILS 方法是安全的，不会增加手术时间。总之，SILS 腹腔镜可调胃束带术是一种安全有效的减肥方法，适用于特定患者。
