Laparoscopic Adjustable Gastric Banding: is There a Learning Curve?

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2003 Nov 20

PMID 14625767

Citations 5

Authors

K Shapiro

S Patel

Z Abdo

G Ferzli

Affiliations

Soon will be listed here.

Abstract

Background: To be certified for laparoscopic placement of adjustable gastric banding, surgeons must have advanced laparoscopic experience. Despite previous exposure to other kinds of laparoscopy, there may a learning curve specific to Lap-Band placement.

Methods: Sixty consecutive patients were prospectively separated into two groups: the first 30 patients operated on (group 1) and the second 30 patients operated on (group 2).

Results: Both groups were similar statistically in regard to gender, age, and body mass index. Operative time for group 1 was 79 +/- 31.1 min. There were 11 (37%) complications in 10 patients. Operative time for group 2 was 59 +/- 19.9 min. There were two complications (7%). All operations were completed laparoscopically. Operative time was significantly lower in group 2 ( t-test; p = 004). Complications were also significantly lower (chi-square; p = 0.005). The number of reoperations was also reduced and approached statistical significance (chi-square; p = 0.054). Readmissions, although reduced, were not statistically significant. There were no deaths in either group.

Conclusions: Despite a surgeon's history of advanced laparoscopic experience, there is a definite learning curve associated with the laparoscopically placed adjustable gastric band.

Citing Articles

Laparoscopic adjustable gastric band: 4-year experience and learning curve.

Papadimitriou G, Vardas K, Alfaras K, Alfaras P JSLS. 2015; 19(1):e2013.00363.

PMID: 25848174 PMC: 4370035. DOI: 10.4293/JSLS.2013.00363.

Laparoscopic gastric band migration: role of environmental factors in the experience of a single team in three operating rooms.

Forestieri P, Pilone V, Tramontano S, Formato A, Monda A, Esposito E Obes Surg. 2010; 20(10):1333-9.

PMID: 20614198 DOI: 10.1007/s11695-010-0225-9.

Results and complications after Swedish adjustable gastric banding-10 years experience.

Mittermair R, Obermuller S, Perathoner A, Sieb M, Aigner F, Margreiter R Obes Surg. 2009; 19(12):1636-41.

PMID: 19763708 DOI: 10.1007/s11695-009-9967-7.

High complication rate after Swedish adjustable gastric banding in younger patients < or =25 years.

Mittermair R, Aigner F, Obermuller S Obes Surg. 2008; 19(4):446-50.

PMID: 18998192 DOI: 10.1007/s11695-008-9758-6.

Trocar-less instrumentation for laparoscopy: magnetic positioning of intra-abdominal camera and retractor.

Park S, Bergs R, Eberhart R, Baker L, Fernandez R, Cadeddu J Ann Surg. 2007; 245(3):379-84.

PMID: 17435544 PMC: 1877010. DOI: 10.1097/01.sla.0000232518.01447.c7.

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