Hand-assisted laparoscopic vertical banded gastroplasty: report of a series.

C D Gerhart

Publication/Presentation Date

7-1-2000

Abstract

HYPOTHESIS: Hand-assisted laparoscopic vertical banded gastroplasty is technically feasible and has weight loss and morbidity outcomes similar to those of the standard open technique.

DESIGN: Patients in this study met the indications for bariatric surgery and were followed up prospectively for postoperative morbidity, mortality, and weight loss.

PATIENTS: A total of 26 patients with an average body mass index (calculated as weight in kilograms divided by the square of height in meters) of 50.8 underwent hand-assisted laparoscopic vertical banded gastroplasty. Follow-up ranged from 3 to 18 months.

RESULTS: The hand-assisted technique was carried out efficiently, with low operative morbidity and no mortality. Weight loss during follow-up was similar to that described for the open technique.

CONCLUSIONS: Hand-assisted laparoscopic vertical banded gastroplasty is technically feasible and has weight loss and morbidity outcomes similar to those of the open technique in this first report of a series. The hand-assisted technique greatly facilitates performance of the procedure over the completely laparoscopic procedure and yet retains the advantages realized by laparoscopic surgery.

Volume

135

Issue

7

First Page

795

Last Page

798

ISSN

0004-0010

Disciplines

Medicine and Health Sciences

PubMedID

10896372

Department(s)

Department of Surgery

Document Type

Article

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