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Lap Band Over Gastric Sleeve. Although Gastric Sleeve is a great procedure, some patients may experience inadequate weight loss. This can be, in part, due to the gastric sleeve stretching out over time, thus allowing patients to eat larger quantities of food. The procedure is performed laparoscopically using a few tiny skin incisions, takes 45 minutes, and is a same day procedure. A Lap-BandÂ® / Realize-BandÂ® can be placed over the gastric sleeve, to give patients the added restriction that they may have lost.
The doctor performs the surgery by guiding endoscopic instruments through the sleeve into the kidney. Under X-ray control, the cyst is opened, and a large portion of the wall is removed. This procedure usually requires an overnight stay in the hospital. Laparoscopy and Cyst Removal Laparoscopy and cyst removal is the treatment of choice for most patients with numerous or very large cysts. The laparoscopic approach is best for removing a large number of cysts and for those with a condition called adult polycystic kidney disease (APCKD).