Consalvo Vincenzo, Salsano Vincenzo, Sarno Gerardo
Bariatric Surgery Department, Clinique Clementville, Montpellier, France.
General Surgery Department San Giovanni Di Dio e Ruggi D'Aragona Salerno, Italy.
Surg Technol Int. 2017 Jul 25;30:93-96.
Adjustable Gastric Banding (AGB) is an effective and reversible bariatric procedure, which is usually performed using a mini-invasive laparoscopic approach. The majority of surgeons use a five-trocar technique, while AGB can be safely carried out with only three trocars. The aim of our study was to compare the outcomes of three-trocar laparoscopic adjustable gastric banding (LAGB) to the results obtained with the conventional technique.
A retrospective analysis of our database was carried out to assess the number of LAGB performed with the conventional five-port technique and the number of LAGB performed with the three-port approach. The complication rate and the weight loss of the two groups were compared.
From May 2006 to February 2012, 395 patients underwent LAGB under our care. The conventional technique was performed in 198 patients, while the three ports approach was used in 197 subjects. Complications rate was similar in the two groups and no death was recorded. There was no statistical difference in operative time and weight loss between the groups.
LAGB can be safely performed with a three-port approach. This technique reduces the number of scars and the surgical trauma without differences in weight loss or complication rate.
可调节胃束带术（AGB）是一种有效且可逆的减肥手术，通常采用微创腹腔镜手术方式进行。大多数外科医生采用五套管针技术，而AGB仅用三个套管针即可安全实施。我们研究的目的是比较三套管针腹腔镜可调节胃束带术（LAGB）与传统技术的手术效果。
对我们的数据库进行回顾性分析，以评估采用传统五端口技术实施的LAGB数量以及采用三端口方法实施的LAGB数量。比较两组的并发症发生率和体重减轻情况。
从2006年5月至2012年2月，395例患者在我们的治疗下接受了LAGB手术。198例患者采用传统技术，197例患者采用三端口方法。两组的并发症发生率相似，无死亡记录。两组之间的手术时间和体重减轻情况无统计学差异。
LAGB采用三端口方法可安全实施。该技术减少了疤痕数量和手术创伤，在体重减轻或并发症发生率方面无差异。
