[A new technique for laparoscopic placement of the adjustable gastric band (LAP-band) for preventing slippage].
BACKGROUND
Slippage (SP) of the stomach is the most common postoperative complication after laparoscopic adjustable silicone gastric banding (LAS-GB) for morbid obesity.


METHODS
A randomized prospective study was constructed in order to determine whether laparoscopic placement behind the cardia (RKP) is associated with a lower incidence of postoperative SP and pouch dilation than after a retrogastric placement (RGP) of the LAP band using a common technique. Morbidly obese patients presenting for LASGB were randomized to undergo either an RKP (n = 50) or an RGP (n = 51).


RESULTS
There were three postoperative SP and three pouch dilations in the RGP group versus no postoperative complication in the RKP group.


CONCLUSIONS
The placement of LAP band by the RKP technique is safe and followed by a lower frequency of postoperative complications than with the RGP technique. Clear anatomical landmarks are a benefit to the education and learning curve of LASGB.
Weiner
R
R
Chirurgische Klinik, Krankenhauses Nordwest Frankfurt/Main. R.Weiner@em.uni-frankfurt.de
Wagner
D
D
Blanco-Engert
R
R
Bockhorn
H
H
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D012828:Silicones
D012828:Silicones