title: Laparoscopic Placement of Adjustable Silicone Gastric Band in the Treatment of Morbid Obesity: How to Do It.
abstract: BACKGROUND: laparoscopic placement of the adjustable silicone gastric band (ASGB) was begun in our institution in 1992. METHODS: this work started on the animal model first. In the animal laboratory, details of laparoscopic dissection around the pig's stomach were defined. A new prototype of the adjustable silicone band for laparoscopic use was devised. The first human laparoscopic ASGB procedure was performed in our institution on September 1, 1993; 37 patients have undergone this operation by May, 1994. There were 33 women and four men. The average pre-operative weight was 114 kg (92160 kg). The mean BMI was 42 kg m(2) (37-50 kg m(2)). RESULTS: no major operative difficulty has been encountered. Immediate post-operative outcome was uneventful except for one patient. CONCLUSION: the technique of laparoscopic ASGB is described. Preliminary weight loss is comparable to open ASGB and vertical gastroplasty, provided that the surgeon has mastered laparoscopy and open bariatric surgery.
authors.affiliation: Service de Chirurgie Universitaire, Centre Hospitalier Hutois, 2 Rue des Trois Ponts, Huy, 4500, Belgium.
authors.initials: M
authors.lastname: Belachew
authors.initials: M
authors.lastname: Legrand
authors.initials: V
authors.lastname: Vincenti
authors.initials: T
authors.lastname: Deffechereux
authors.initials: JL
authors.lastname: Jourdan
authors.initials: B
authors.lastname: Monami
authors.initials: N
authors.lastname: Jacquet