A Novel Auxiliary Device for Preventing Band Slippage After Laparoscopic Adjustable Gastric Banding: Infra-Band Fixation Using S-Loop

作者：Son Sang Yong; Park Yun Chan^*

来源：Journal of Laparoendoscopic & Advanced Surgical Techniques, 2018, 28(8): 972-976.

DOI：10.1089/lap.2017.0265

• morbid obesity
• bariatric surgery
• laparoscopic adjustable gastric banding
• slippage

Background: Band slippage is known to be a troublesome complication of laparoscopic adjustable gastric banding (LAGB), often requiring surgical intervention. To prevent band slippage, a new auxiliary device S-loop was developed. Methods: From July 2010 to January 2014, a total of 814 LAGBs were performed by a single surgeon. The patients were divided into two groups based on the application of S-loop: conventional LAGB group (n=378) and S-loop group (n=436). The operative outcomes were compared between the two groups. Results: The mean operative time and the length of hospital stay were significantly longer in the conventional LAGB group than in the S-loop group (64.3 minutes versus 57.1 minutes; P<.001 and 5.0 hours versus 3.6 hours; P<.001, respectively). The complications occurred in 7.1% of the conventional LAGB group and 1.6% in the S-loop group (P<.001). Slippage was the most common complication: 13 cases were observed in the conventional LAGB group, whereas no slippage was observed in the S-loop group. Conclusion: Infra-band fixation using S-loop is a simple and effective method for preventing band slippage compared with the conventional LAGB.

• 出版日期2018-8