01 7월 From cousin morbidity costs, comparative investigation try pair
Total complications and big difficulties try less common during the laparoscopic AGB than just laparoscopic RGB otherwise laparoscopic BPD, in one single-center experience .
Recent breakdown of a multicenter, possible All of us trial regarding laparoscopic AGB placement from the perigastric approach found strange thickness away from gastrointestinal perforation (1%) or any other visceral burns (1%). Band-relevant difficulties built-up over 5-12 months realize-upwards, such as for example slippage/wallet dilatation (24%), esophageal dilatation (8%) and you will stomal congestion (14%). Port-web site issue, and aches, port displacement, and you can drip, arose in approximately eight% regarding people. Imply explantation or significant improve speed of the 9 years is actually 33%.
Conversely, synchronous review of a subsequent demonstration which accompanied new pars flaccida technique receive faster slippage/pouch dilatation (7%), esophageal dilatation (1%), and you may stomal obstruction (2%) in the 1-year. Non-All of us surgeons have likewise championed this new pars flaccida strategy [186-188, 210, 211] to reduce band-specific issue. You to absolute pars flaccida series with eight-seasons follow-right up stated 12% slippage/pocket dilatation, although cumulative reoperation speed are thirty-two% .
Recommendations for laparoscopic AGB
- The brand new pars flaccida approach for laparoscopic AGB placement shall be utilized ahead of the latest perigastric approach in order to decrease the chance from gastric prolapse (peak II, degrees An effective).