Laparoendoscopic single-site gastric bands versus standard multiport gastric bands: a comparison of technical learning curve measured by surgical time.
BACKGROUND
We aimed to evaluate our learning curve comparing surgical time of laparoendoscopic single-site (LESS) banding with multiport laparoscopy.


METHODS
We performed a retrospective analysis of prospectively collected data comparing our first 48 LESS bands with our first 50 multiport laparoscopic bands at our institution. We then compared the first 24 LESS bands with the last 24 bands.


RESULTS
The average body mass index for the LESS group was significantly lower than for the laparoscopic group (43.19 vs 48.3; P < .0001). The surgical time was much faster toward the second half of our experience performing the LESS procedure (85.34 vs 68.8; P = .0055). LESS banding took significantly longer than our early traditional laparoscopic adjustable gastric banding (76.85 vs 64.4; P = .0015).


CONCLUSIONS
We conclude that in experienced hands, single-incision banding is feasible and safe to perform. Long-term data are needed to prove that LESS banding is as good a surgery as traditional laparoscopic surgery.
University of Illinois, Chicago Metropolitan Group Hospitals, Chicago, IL 60614, USA. mgawart@hotmail.com
Matthew
M
Gawart
Sabine
S
Dupitron
Rami
R
Lutfi
D000328:Adult; D000368:Aged; D015992:Body Mass Index; D002983:Clinical Competence; D015331:Cohort Studies; D005260:Female; D015391:Gastroplasty / Q000193:education / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000193:education / Q000379:methods*; D059032:Learning Curve; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss