Juodeikis Žygimantas, Brimas Gintautas
Clinic of Gastroenterology, Nephro‑Urology and Surgery, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania.
Wideochir Inne Tech Maloinwazyjne. 2025 Mar 24;20(1):51-54. doi: 10.20452/wiitm.2025.17937. eCollection 2025 Apr 9.
Two decades ago, laparoscopic adjustable gastric banding was a leading bariatric sur‑ gery. However, its popularity has declined, with sleeve gastrectomy becoming the predominant choice. The MiniMizer Extra band used in our clinic from 2008 to 2020 was associated with band erosion primarily at its lower edge. In 2014, we started using a modified band fixation technique by placing sutures only on the upper part of the band.
The aim of this study was to compare 2 different fixation techniques for the MiniMizer Extra adjustable gastric band to identify any potential differences in outcomes.
In this study, we compared 54 patients who underwent adjustable gastric banding with the MiniMizer Extra band between January 1, 2009, and January 31, 2010, with a group of 54 patients who were subjected to the procedure between January 1, 2014, and January 31, 2019, using a different band fixation method.
Weight loss results significantly favored the modified fixation group, with an average total weight loss of 24.2%. The overall complication rate was 12% and was significantly higher in the original fixation group. Complications included 6 cases of band erosion, 4 port‑related issues, 1 case of band slippage, and 2 cases of band intolerance.
The modified fixation group demonstrated improved weight loss results with fewer com‑ plications, suggesting a potential advantage in safety and efficacy of the modified technique.
二十年前，腹腔镜可调节胃束带术是主要的减肥手术。然而，其受欢迎程度已有所下降，袖状胃切除术成为了主要选择。2008年至2020年期间，我们诊所使用的MiniMizer Extra束带主要在其下缘出现束带侵蚀问题。2014年，我们开始采用一种改良的束带固定技术，仅在束带的上部放置缝线。
本研究的目的是比较MiniMizer Extra可调节胃束带的两种不同固定技术，以确定结果方面的任何潜在差异。
在本研究中，我们将2009年1月1日至2010年1月31日期间接受MiniMizer Extra束带可调节胃束带术的54例患者，与2014年1月1日至2019年1月31日期间采用不同束带固定方法接受该手术的54例患者进行了比较。
体重减轻结果明显有利于改良固定组，平均总体重减轻了24.2%。总体并发症发生率为12%，原始固定组的并发症发生率明显更高。并发症包括6例束带侵蚀、4例与端口相关的问题、1例束带滑脱和2例束带不耐受。
改良固定组显示出更好的体重减轻效果且并发症更少，这表明改良技术在安全性和有效性方面具有潜在优势。
