Port complications following laparoscopic adjustable gastric banding for morbid obesity

Laparoscopic adjustable gastric banding (LAGB) has gained widespread acceptance. However, the technique has problems intrinsic to the material wear and tear around the port and connecting tubing that can lead to failure. Port complications are considered to be minor; however, few studies have analyz...

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Bibliographic Details
Published in:Obesity surgery 2005-03, Vol.15 (3), p.361-365
Main Authors: Keidar, Andrei, Carmon, Einat, Szold, Amir, Abu-Abeid, Subhi
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Body Mass Index
Equipment Failure
Female
Follow-Up Studies
Gastrointestinal surgery
Gastroplasty - adverse effects
Gastroplasty - instrumentation
Hernia, Abdominal - etiology
Humans
Intubation - adverse effects
Intubation - instrumentation
Laparoscopy
Male
Middle Aged
Obesity
Obesity, Morbid - surgery
Postoperative Complications - prevention & control
Reoperation
Retrospective Studies
Surgical outcomes
Surgical techniques
Surgical Wound Infection - etiology
Time Factors
Weight control
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Summary:Laparoscopic adjustable gastric banding (LAGB) has gained widespread acceptance. However, the technique has problems intrinsic to the material wear and tear around the port and connecting tubing that can lead to failure. Port complications are considered to be minor; however, few studies have analyzed them, and the optimal technique of port implantation and management has not been elucidated. All patients who suffered from complications involving the tubing or access-port were included in this study. Their complaints, imaging studies, operative reports and hospitalization files were retrospectively reviewed. 1,272 of the patients were available for a mean follow-up period of 37 months. During this time, 91 patients (7.1%) experienced port complications that required 103 revisional operations. Of these patients, 62 had system leaks, 19 infectious problems, and 10 miscellaneous problems requiring operative correction. Overall port problems led to band removal in 6 patients, and replacement in 1 patient. Access-port complications after the Lap-Band procedure are among the most common and annoying ones, and can render the device susceptible to failure. Careful surgical technique and routine use of radiologic guidance for band adjustments are the keys to avoiding complications.
ISSN:0960-8923
1708-0428
DOI:10.1381/0960892053576604