V.v. Grubnik, Prof1, O.b. Ospanov, Prof2, K.a. Namaeva2, V.p. Golliak1, M.s. Kresun1. 1Odessa national medical university, Ukraine, 2Medical university Astana, Kazakhstan
Introduction. Laparoscopic greater curvature placation (LGCP) is a new restrictive bariatric procedure witch has a similar restrictive mechanism like laparoscopic sleeve gastrectomy (LSG) without potential risk of leak.
Aim of the study was to compare 2-years results of LSG and LGCP.
Methods and procedures. Multicenter prospective randomized study was started in 2010. A total 52 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, BMI>65 kg/m2. There were 40 women and 12 men, mean age was 42,6±6,8 years (range, 35-62). Data on the operation time, complications, hospital stay, body mass index loss (BMIL), percentage of excess weight loss (%EWL), loss of appetite and improvement of comorbidities were collected during the follow-up examination.
Results. 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<0,01). Loss of feeling of hunger was 28% in LGCP group and 76% in the LSG group (p<0,05). The comorbidities including diabetes, sleep apnea and hypertension, were markedly improved in both group after surgery.
Conclusions. The short-term outcomes of the study demonstrate the equal effectiveness of both procedure, but 2-years follow-up showed that LGCP is worse than LSG as a restrictive procedure for weight loss.