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KMID : 1033120150040010019
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대한비만대사외과학회지
2015 Volume.4 No. 1 p.19 ~ p.24
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Short-term Experience of Laparoscopic Greater Curvature Plication in Morbidly Obese Korean Patients
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Hong Ji-Sun
Han Sang-Moon
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Abstract
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Purpose: Laparoscopic greater curvature plication (LGCP) is the new emerging surgical technique for treating morbid obesity. The short-term results of LGCP are not yet available in Korea.
Materials and Methods: We retrospectively reviewed prospectively collected 18 patients’ data with over 30 kg/m2 body mass index (BMI) who underwent LGCP from January 2013 to October 2014. Fifteen of these patients who had more than 3 months of follow-up were included in this report. LGCP was performed laparoscopically using interrupted and continuous sero-muscular suture from fundus to antrum over a 36-French bougie.
Results: Mean age at the time of surgery was 33.1±7.9 years in our patients. Mean weight was 98.9±15.5 kg and mean BMI was 35.7±4.1 kg/m2 preoperatively. The percentage of excess BMI loss (%EBL) in the postoperative first, third and sixth month was 33.6±9.1, 51.6±15.4 and 64.5±18.3%, respectively. There were no 30-day peri-operative mortality and major complications including bleeding, leakage and conversion bariatric surgery.
Conclusion: These findings show that LGCP is a safe and effective weight loss option for morbidly obese Korean patients in short-term period. Randomized prospective control studies between gastric banding or sleeve gastrectomy and LGCP, are needed to confirm short-term weight loss effect and safety of LGCP in this group of patients.
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KEYWORD
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Bariatric surger, , Laparoscopic greater curvature plication, Short-term, Weight loss, Complication
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