Randomized controlled trial comparing laparoscopic greater curvature plication versus laparoscopic sleeve gastrectomy
| Autor: | K. A. Namaeva, O. B. Ospanov, O. V. Medvedev, M. S. Kresyun, V. V. Grubnik |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Gastroplasty Operative Time Appetite 030209 endocrinology & metabolism Comorbidity law.invention 03 medical and health sciences 0302 clinical medicine Postoperative Complications Randomized controlled trial Weight loss law Gastrectomy Diabetes mellitus Weight Loss medicine Humans Prospective Studies Laparoscopic sleeve gastrectomy business.industry Sleep apnea Length of Stay Middle Aged medicine.disease Curvatures of the stomach Surgery Obesity Morbid Treatment Outcome Feasibility Studies 030211 gastroenterology & hepatology Female Laparoscopy medicine.symptom business Body mass index Abdominal surgery |
| Zdroj: | Surgical endoscopy. 30(6) |
| ISSN: | 1432-2218 |
| Popis: | Laparoscopic greater curvature plication (LGCP) is a new restrictive bariatric procedure, which has a similar restrictive mechanism like laparoscopic sleeve gastrectomy (LSG) without potential risk of leak. Aim of the study was to compare 2-year outcomes of LSG and LGCP. Multicenter prospective randomized trial was started in 2010. A total of 54 patients with morbid obesity were allocated either to LGCP group (n = 25) or LSG group (n = 27). Main exclusion criteria were: ASA > III, age > 75 and BMI > 65 kg/m2. There were 40 women and 12 men, and the mean age was 42.6 ± 6.8 years (range 35–62). Data on the operation time, complications, hospital stay, body mass index loss, percentage of excess weight loss (%EWL), loss of appetite and improvement in comorbidities were collected during the follow-up examinations. All procedures were completed laparoscopically. The mean operative time was 92.0 ± 15 min for LSG and 73 ± 19 min for LGCP (p > 0.05). The mean hospital stay was 4.0 ± 1.9 days in the LSG group and 3.8 ± 1.7 days in LGCP group (p > 0.05). One year after surgery, the mean %EWL was 59.5 ± 15.4 % in LSG group and 45.8 ± 17 % in LGCP group (p > 0.05). After 2 years, mean %EWL was 78.9 ± 20 % in the LSG group and 42.4 ± 18 % in the LGCP group (p |
| Databáze: | OpenAIRE |
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