Hand-assisted laparoscopic vertical banded gastroplasty: Early results

J. I S Bleier, A. S. Krupnick, D. Kreisel, Howard Song, E. F. Rosato, N. N. Williams

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background: Minimally invasive hand-port-assisted laparoscopic vertical banded gastroplasty has the potential to reduce postoperative complications after bariatric surgery. Methods: We analyzed the postoperative course of 46 hand-port-assisted laparoscopic vertical banded gastroplasties (LVBG) completed between January 1998 and April 1999. Results: The operating time for the LVBG was shorter (140.8 ± 6.0 vs 180.2 ± 6.3 min; p <0.05). Individuals were able to ambulate sooner (1.36 ± 0.09 vs 2.44 ± 0.16 days; p <0.05), and start oral intake earlier (2.7 ± 0.27 vs 3.7 ± 0.17 days; p <0.05) than the open vertical banded gastroplasty (VBG) controls. Three staple line leaks were detected in this group. Two leaks resolved without clinical sequelae, but one patient developed intraabdominal sepsis. This complication extended the average hospital stay to 6.8 ± 2.00 days, as compared to 7.71 ± 0.18 days for historical controls. By discounting this patient from the analysis, we arrive at a more representative length of hospitalization of 4.82 ± 0.34 days (p <0.05). Conclusions: LVBG offers a good alternative to the standard open VBG. Although this procedure has a relatively short learning curve, it should be done at centers with an interest in bariatric surgery.

Original languageEnglish (US)
Pages (from-to)902-907
Number of pages6
JournalSurgical Endoscopy and Other Interventional Techniques
Volume14
Issue number10
DOIs
StatePublished - 2000
Externally publishedYes

Fingerprint

Gastroplasty
Hand
Bariatric Surgery
Learning Curve
Length of Stay
Sepsis
Hospitalization

Keywords

  • Bariatric surgery
  • Hand-port laparoscopy
  • Laparoscopic surgery
  • Laparoscopy
  • Vertical banded gastroplasty

ASJC Scopus subject areas

  • Surgery

Cite this

Hand-assisted laparoscopic vertical banded gastroplasty : Early results. / Bleier, J. I S; Krupnick, A. S.; Kreisel, D.; Song, Howard; Rosato, E. F.; Williams, N. N.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 14, No. 10, 2000, p. 902-907.

Research output: Contribution to journalArticle

Bleier, J. I S ; Krupnick, A. S. ; Kreisel, D. ; Song, Howard ; Rosato, E. F. ; Williams, N. N. / Hand-assisted laparoscopic vertical banded gastroplasty : Early results. In: Surgical Endoscopy and Other Interventional Techniques. 2000 ; Vol. 14, No. 10. pp. 902-907.
@article{27b7a9d254f54c1bbe54faf30aa79fd2,
title = "Hand-assisted laparoscopic vertical banded gastroplasty: Early results",
abstract = "Background: Minimally invasive hand-port-assisted laparoscopic vertical banded gastroplasty has the potential to reduce postoperative complications after bariatric surgery. Methods: We analyzed the postoperative course of 46 hand-port-assisted laparoscopic vertical banded gastroplasties (LVBG) completed between January 1998 and April 1999. Results: The operating time for the LVBG was shorter (140.8 ± 6.0 vs 180.2 ± 6.3 min; p <0.05). Individuals were able to ambulate sooner (1.36 ± 0.09 vs 2.44 ± 0.16 days; p <0.05), and start oral intake earlier (2.7 ± 0.27 vs 3.7 ± 0.17 days; p <0.05) than the open vertical banded gastroplasty (VBG) controls. Three staple line leaks were detected in this group. Two leaks resolved without clinical sequelae, but one patient developed intraabdominal sepsis. This complication extended the average hospital stay to 6.8 ± 2.00 days, as compared to 7.71 ± 0.18 days for historical controls. By discounting this patient from the analysis, we arrive at a more representative length of hospitalization of 4.82 ± 0.34 days (p <0.05). Conclusions: LVBG offers a good alternative to the standard open VBG. Although this procedure has a relatively short learning curve, it should be done at centers with an interest in bariatric surgery.",
keywords = "Bariatric surgery, Hand-port laparoscopy, Laparoscopic surgery, Laparoscopy, Vertical banded gastroplasty",
author = "Bleier, {J. I S} and Krupnick, {A. S.} and D. Kreisel and Howard Song and Rosato, {E. F.} and Williams, {N. N.}",
year = "2000",
doi = "10.1007/s004640000298",
language = "English (US)",
volume = "14",
pages = "902--907",
journal = "Surgical Endoscopy and Other Interventional Techniques",
issn = "0930-2794",
publisher = "Springer New York",
number = "10",

}

TY - JOUR

T1 - Hand-assisted laparoscopic vertical banded gastroplasty

T2 - Early results

AU - Bleier, J. I S

AU - Krupnick, A. S.

AU - Kreisel, D.

AU - Song, Howard

AU - Rosato, E. F.

AU - Williams, N. N.

PY - 2000

Y1 - 2000

N2 - Background: Minimally invasive hand-port-assisted laparoscopic vertical banded gastroplasty has the potential to reduce postoperative complications after bariatric surgery. Methods: We analyzed the postoperative course of 46 hand-port-assisted laparoscopic vertical banded gastroplasties (LVBG) completed between January 1998 and April 1999. Results: The operating time for the LVBG was shorter (140.8 ± 6.0 vs 180.2 ± 6.3 min; p <0.05). Individuals were able to ambulate sooner (1.36 ± 0.09 vs 2.44 ± 0.16 days; p <0.05), and start oral intake earlier (2.7 ± 0.27 vs 3.7 ± 0.17 days; p <0.05) than the open vertical banded gastroplasty (VBG) controls. Three staple line leaks were detected in this group. Two leaks resolved without clinical sequelae, but one patient developed intraabdominal sepsis. This complication extended the average hospital stay to 6.8 ± 2.00 days, as compared to 7.71 ± 0.18 days for historical controls. By discounting this patient from the analysis, we arrive at a more representative length of hospitalization of 4.82 ± 0.34 days (p <0.05). Conclusions: LVBG offers a good alternative to the standard open VBG. Although this procedure has a relatively short learning curve, it should be done at centers with an interest in bariatric surgery.

AB - Background: Minimally invasive hand-port-assisted laparoscopic vertical banded gastroplasty has the potential to reduce postoperative complications after bariatric surgery. Methods: We analyzed the postoperative course of 46 hand-port-assisted laparoscopic vertical banded gastroplasties (LVBG) completed between January 1998 and April 1999. Results: The operating time for the LVBG was shorter (140.8 ± 6.0 vs 180.2 ± 6.3 min; p <0.05). Individuals were able to ambulate sooner (1.36 ± 0.09 vs 2.44 ± 0.16 days; p <0.05), and start oral intake earlier (2.7 ± 0.27 vs 3.7 ± 0.17 days; p <0.05) than the open vertical banded gastroplasty (VBG) controls. Three staple line leaks were detected in this group. Two leaks resolved without clinical sequelae, but one patient developed intraabdominal sepsis. This complication extended the average hospital stay to 6.8 ± 2.00 days, as compared to 7.71 ± 0.18 days for historical controls. By discounting this patient from the analysis, we arrive at a more representative length of hospitalization of 4.82 ± 0.34 days (p <0.05). Conclusions: LVBG offers a good alternative to the standard open VBG. Although this procedure has a relatively short learning curve, it should be done at centers with an interest in bariatric surgery.

KW - Bariatric surgery

KW - Hand-port laparoscopy

KW - Laparoscopic surgery

KW - Laparoscopy

KW - Vertical banded gastroplasty

UR - http://www.scopus.com/inward/record.url?scp=0033725174&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033725174&partnerID=8YFLogxK

U2 - 10.1007/s004640000298

DO - 10.1007/s004640000298

M3 - Article

C2 - 11080400

AN - SCOPUS:0033725174

VL - 14

SP - 902

EP - 907

JO - Surgical Endoscopy and Other Interventional Techniques

JF - Surgical Endoscopy and Other Interventional Techniques

SN - 0930-2794

IS - 10

ER -