Comparison of laparoscopic sleeve gastrectomy and laparoscopic gastric plication: One year follow-up results
Şükrü Salih Toprak1, Yücel Gültekin2, Ahmet Okuş3
1Clinic of General Surgery, Konya Beyhekim State Hospital, Konya, Turkey
2Department of Intensive Care, Hacettepe University School of Medicine, Ankara, Turkey
3Department of General Surgery, Konya Mevlana University School of Medicine, Konya, Turkey
Objective: Various different surgical methods are used for obesity surgery. Among them are laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric plication (LGP), both which have been successively performed recently. In this study, we compared treatment results of patients who underwent LGP with decrease in gastric volume via plication in gastric major curvature and patients who had LSG, a method that was been used earlier than LPG.
Material and Methods: We analyzed all morbid obese patients who underwent bariatric surgery with LSG and LPG in Konya Beyhekim hospital between 2009 and 2012. Demographic features including age and sex, preoperative blood biochemistry, body mass index (BMI) before and after operation, duration of hospital stay, morbidity, mortality and complications were analyzed.
Results: We enrolled a total of 55 patients who were operated for obesity between 2009 and 2012. Among them, 29 patients had LGP, and 26 patients had LSG. BMI in LGP group was 41.4 ±3 kg/m², and LSG grubu was 42.0±3.1 kg/m². There was no significant difference between two groups for BMI. Two groups were also similar for mean age and gender ratios. In LGP group, one patient had postoperative necrosis in suture line. One patient in LSG group was re-operated for bleeding. Another patient in this group had leakage at suture line. In postoperative BMI assessment of LPG and LSG patients, patients who underwent LSG had significantly lower BMI levels. Duration of hospital stay was significantly shorter in LGP group. There was no significant difference in complication rates between two groups.
Conclusion: In this study, we obtained similar results in patients who were treated with LPG and LSG. Moreover, LSG was more efficient to decrease BMI in morbid obesity surgery when compared to LPG. However, duration of hospital stay was significantly shorter in LGP group. We concluded that both methods can be effectively and safely used in surgical management of morbid obesity.
Keywords: Obesity, sleeve, plication, laparoscopic
Since it is a retrospective study, we did not apply for ethical committee approval.
Written informed consent was obtained from patients who participated in this study.
Concept - Ş.S.T., Y.G.; Design - Ş.S.T., Y.G.; Supervision - Y.G., A.O.; Funding - Y.G., A.O.; Materials - Ş.S.T., Y.G.; Data Collection and/or Processing - Ş.S.T., Y.G.; Analysis and/or Interpretation - Y.G., A.O.; Literature Review - Y.G.; Writer - Y.G.; Critical Review - Ş.S.T., Y.G., A.O.; Other - Ş.S.T., Y.G., A.O.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.