Why the study?
Does laparoscopic adjustable silicone gastric banding improve the immediate post-operative course compared to open gastroplasty in morbidly obese patients?
Does laparoscopic adjustable silicone gastric banding improve the immediate post-operative course compared to open gastroplasty in morbidly obese patients?
Laparoscopic gastroplasty significantly improves immediate post-operative recovery metrics compared to the open procedure in morbidly obese patients.
May support faster recovery with laparoscopic gastroplasty; hypothesis-generating and requires randomized confirmation before practice change.
The post-operative period is particularly dangerous for obese patients. The aim of this study was to compare the immediate post-operative course after either laparoscopic or open gastroplasty. We studied retrospectively 20 and 14 consecutive patients who underwent laparoscopic or open adjustable silicone gastric banding, respectively. After the laparoscopic procedure, patients had a significantly shorter stay in the post-anaesthesia care unit (0.3 +/- 0.4 and 1.1 +/- 1 days), reduced analgesic requirements, a shorter period of intravenous catheter use (2.3 +/- 1.9 and 4.8 +/- 1.4 days), were able to walk sooner (1 +/- 0.4 and 2.1 +/- 1.6 days) and had a significantly shorter duration of in-hospital stay (5.4 +/- 2.3 and 15.8 +/- 4.5 days) than after an open procedure. This report suggests that the use of laparoscopy for gastroplasty in morbidity obese patients may significantly improve the immediate post-operative course.
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Philippe Juvin (1999) studied this question.