Banda gástrica ajustável laparoscópica: alternativa técnica

Revista do Colégio Brasileiro de Cirurgiões

Pablo Roberto Miguel¹  Marcus Reusch¹  André Luiz Moreira Da Rosa¹ 

[1] ,Hospital Mãe de Deus

关键词: Obesity surgery;    Laparoscopic surgery;    Gastric banding;    Bariatric surgery;   

DOI  :  10.1590/S0100-69912001000300012

来源: SciELO

【 摘 要 】

In these paper we are presenting a technical alternative to laparoscopic adjustable gastric banding. From January 1999 to April 2000, 60 patients with mean body mass index (BMI) of 40,7 kg/m2 underwent laparoscopic adjustable gastric banding. The new technique is performed in two steps. In the first step, an isolation instrument (laparoscopic finger) is inserted through the lesser sac, next to the junction of diaphragmatic crura, including the lesser omentum in order to pull the band catheter. The second step separates the lesser omentum from the right side of the stomach.There was no mortality and the morbidity was 11,6% (1 slippage of the band and 6 trocar port seroma). The new technique was performed in all patients with no conversion to open procedure. We didn't have respiratory complications. This technical alternative is safe and easily performed, helping to prevent transoperative perforations.

【 授权许可】

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