title: Laparoendoscopic single-site adjustable gastric banding: technical considerations.
abstract: OBJECTIVE
  Recently, laparoendoscopic single-site surgery (LESS) has been proposed to minimize the invasiveness of laparoscopic surgery. We present our standardized technique of LESS adjustable gastric banding.
  
  
  METHODS
  Data of 25 patients who underwent LESS adjustable gastric banding between March 2009 and January 2010 was reviewed retrospectively. All procedures were performed with multiple low-profile trocars through a single incision using conventional laparoscopic instruments.
  
  
  RESULTS
  Mean operative time was 78 minutes. Mean blood loss was 8 mL and the median stay was 0.3 days (range, 0.1 to 3 d). No mortality was noted and there was 1 reoperation in the perioperative period due to stoma obstruction.
  
  
  CONCLUSIONS
  LESS adjustable gastric banding with traditional rigid instruments is feasible and safe but requires working with limited triangulation. Short-term outcomes are promising but long-term follow-up is needed in weighing in the potential benefits to the patient against the technical challenges that arise with this technique.
authors.affiliation: Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, IL 60612, USA. ayloosub@uic.edu
authors.forename: Subhashini M
authors.initials: SM
authors.lastname: Ayloo
authors.forename: Nicolas C
authors.initials: NC
authors.lastname: Buchs
authors.forename: Pietro
authors.initials: P
authors.lastname: Addeo
authors.forename: Pier C
authors.initials: PC
authors.lastname: Giulianotti
mesh_terms: D000293:Adolescent; D000328:Adult; D005240:Feasibility Studies; D005260:Female; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011446:Prospective Studies; D012086:Reoperation; D015431:Weight Loss; D055815:Young Adult