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. 1997 Aug;7(4):352-8.
doi: 10.1381/096089297765555610.

Laparoscopic adjustable silicone gastric banding (Lap-Band): how to avoid complications

F Favretti  1 , G B Cadiere, G Segato, J Himpens, L Busetto, F De Marchi, M Vertruyen, G Enzi, M De Luca, M Lise
Affiliations

Laparoscopic adjustable silicone gastric banding (Lap-Band): how to avoid complications

F Favretti et al. Obes Surg. 1997 Aug.

Abstract

Background: The laparoscopic application of LAP-BAND is gaining widespread acceptance as a gastric restrictive procedure. At the same time the reported morbidities (i.e., gastric perforation, stomach and/or band slippage) are cause for some concern.

Methods: From September 1993 until May 1997, 260 patients underwent LAP-BAND at the Department of Surgery at the University of Padova, Italy.

Results: The mortality rate was zero and the morbidity rate requiring reoperation was 3.4% (stomach slippage, gastric perforation, erosion). In order to avoid complications the key points of the technique are reviewed: (1) reference points for dissection (equator of the balloon, left crus); (2) retrogastric tunnel within the layers of the phrenogastric ligament; (3) embedment of the band; (4) proper outlet calibration; and (5) retention sutures.

Conclusions: Attention to technical details is of paramount importance for a safe, standardized and effective operation.

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