Hand-Assisted Laparoscopic Vertical Banded Gastroplasty
Report of a Series
Clark D. Gerhart, MD
Arch Surg. 2000;135:795-798.
Hypothesis Hand-assisted laparoscopic vertical banded gastroplasty is technically feasible and has weight loss and morbidity outcomes similar to those of the standard open technique.
Design Patients in this study met the indications for bariatric surgery and were followed up prospectively for postoperative morbidity, mortality, and weight loss.
Patients A total of 26 patients with an average body mass index (calculated as weight in kilograms divided by the square of height in meters) of 50.8 underwent hand-assisted laparoscopic vertical banded gastroplasty. Follow-up ranged from 3 to 18 months.
Results The hand-assisted technique was carried out efficiently, with low operative morbidity and no mortality. Weight loss during follow-up was similar to that described for the open technique.
Conclusions Hand-assisted laparoscopic vertical banded gastroplasty is technically feasible and has weight loss and morbidity outcomes similar to those of the open technique in this first report of a series. The hand-assisted technique greatly facilitates performance of the procedure over the completely laparoscopic procedure and yet retains the advantages realized by laparoscopic surgery.
Dr Gerhart is in private practice in Hazleton, Pa. Dr Gerhart owns stock in Dexterity Incorporated, Atlanta, Ga, the company that produces the Dexterity Pneumo Sleeve, and also receives royalty payments from the sale of the Pneumo Sleeve.
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