Aim. Currently there is great interest to laparoscopic greater curvature placation (LGCP) in association with its economic benefit, but its bariatric effectiveness remains disputable.
Methods. For the period January, 2010 — December, 2014 we observed 70 patients with morbid obesity with BMI from 35 to 50 kg/m2 — were randomized in the two groups. The first group included 35 patients, who received LGCP with combination Nissen type fundoplication without using suturing device (savings 2.5 thousand $ USA), the second group included 35 patients who were executed laparoscopic sleeve gastrectomy (LSG) using gastric tube 34 FR and suturing device with a removable cassette to 60 mm. To evaluate the bariatric effect we have identified excessive weight loss (%EWL) through 6, 12, 24 months.
Results. The middle age of the first group was (37.1±10.9) years, the second group — (38.8± ±11.1) years (р>0.5). The middle BMI of the first group was (39.0±1.7) kg/m2, the second group was (41.4±2.2) kg/m2 (р>0.5).
All procedures were completed laparoscopically; %EWL in compared groups following through 6 months the first group (40.80±4.43)%, the second group (46.20±4.19)% (р=0.0001), indicator on 12 months the first group (43.80±6.02)%, the second group (52.10±5.32)% (р=0.0001), on 24 months the first group (32.60±4.04)%, second group (42.50±3.83)% (р=0.0001). The first group complications were observed in 6 patients, the second group had no complications requiring surgical intervention. There were less complications in first group (c2=4.56; р=0.033).
Conclusions. Our preliminary data showed that laparoscopic plication greater curvature of the stomach despite the obvious economic benefits in the form of savings staplers, is characterized by a higher probability of complications from a cross-linked portion of the stomach and lower long-term effect of bariatric compared with the drain-gastrectomy.