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Laparoscopic adjustable gastric banding: is there a learning curve?

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Abstract

Background: To be certified for laparoscopic placement of adjustable gastric banding, surgeons must have advanced laparoscopic experience. Despite previous exposure to other kinds of laparoscopy, there may a learning curve specific to Lap-Band placement. Methods: Sixty consecutive patients were prospectively separated into two groups: the first 30 patients operated on (group 1) and the second 30 patients operated on (group 2). Results: Both groups were similar statistically in regard to gender, age, and body mass index. Operative time for group 1 was 79 ± 31.1 min. There were 11 (37%) complications in 10 patients. Operative time for group 2 was 59 ± 19.9 min. There were two complications (7%). All operations were completed laparoscopically. Operative time was significantly lower in group 2 (t-test; p = 004). Complications were also significantly lower (chi-square; p = 0.005). The number of reoperations was also reduced and approached statistical significance (chi-square; p = 0.054). Readmissions, although reduced, were not statistically significant. There were no deaths in either group. Conclusions: Despite a surgeon’s history of advanced laparoscopic experience, there is a definite learning curve associated with the laparoscopically placed adjustable gastric band.

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Authors and Affiliations

  1. Department of Surgery, Staten Island University Hospital, 65 Cromwell Avenue, Staten Island, NY 10304, USA

    K. Shapiro, S. Patel, Z. Abdo & G. Ferzli

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  1. K. Shapiro
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  2. S. Patel
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  3. Z. Abdo
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  4. G. Ferzli
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Correspondence to G. Ferzli.

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Shapiro, K., Patel, S., Abdo, Z. et al. Laparoscopic adjustable gastric banding: is there a learning curve?. Surg Endosc 18, 48–50 (2004). https://doi.org/10.1007/s00464-003-8105-1

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  • DOI: https://doi.org/10.1007/s00464-003-8105-1

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