L ) ▁is ▁an ▁advanced , ▁minim ally ▁invas ive ▁procedure ▁in ▁which ▁the ▁sur geon ▁oper ates ▁almost ▁exclus ively ▁through ▁a ▁single ▁entry ▁point , ▁typically ▁the ▁nav el . ▁Special ▁art icul ating ▁instruments ▁and ▁access ▁ports ▁make ▁it ▁unnecessary ▁to ▁place ▁tro c ars ▁extern ally ▁for ▁tri ang ulation , ▁thus ▁allowing ▁the ▁creation ▁of ▁a ▁small , ▁solit ary ▁portal ▁of ▁entry ▁into ▁the ▁ab d omen . ▁The ▁S PL ▁technique ▁has ▁been ▁used ▁to ▁perform ▁many ▁types ▁of ▁surg ery , ▁including ▁adjust able ▁g astr ic ▁band ing ▁and ▁sle e ve ▁g ast rect omy . ▁ ▁In ▁ 2 0 0 3 , ▁the ▁American ▁Institute ▁of ▁G astr ic ▁Band ing ▁( A IG B ) ▁True ▁Results ▁opened ▁the ▁first ▁out pat ient ▁surg ery ▁center ▁using ▁advanced ▁la par os cop ic ▁technology ▁to ▁be ▁recognized ▁by ▁the ▁American ▁College ▁of ▁Sur ge ons ▁as ▁an ▁Acc red ited ▁Out pat ient ▁B ariat ric ▁Center ▁in ▁the ▁United ▁States . ▁The ▁first ▁out pat ient ▁Lap ▁Band ▁procedure ▁in ▁the ▁United ▁States ▁was ▁performed ▁in ▁Texas ▁at ▁A IG B ▁True ▁Results ' ▁S urg ery ▁Center ▁of ▁Richard son ▁in ▁ 2 0 0 3 ▁and ▁since ▁that ▁time ▁the ▁A IG B ▁True ▁Results ▁has ▁performed ▁more ▁than ▁ 3 0 , 0 0 0 ▁out pat ient ▁Lap ▁Band ▁procedures . ▁ ▁Saf ety ▁There ▁is ▁currently ▁a ▁request ▁for ▁a ▁con gression al ▁investigation