Pujol Gebelli Jordi, García Ruiz de Gordejuela Amador, Casajoana Badía Anna, Secanella Medayo Lluis, Vicens Morton Andrew, Masdevall Noguera Carles
Servei de Cirurgia General i de l'Aparell Digestiu, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
Cir Esp. 2011 Jun-Jul;89(6):356-61. doi: 10.1016/j.ciresp.2011.02.005. Epub 2011 Apr 8.
Laparoscopic Gastric Plication is a new technique derived from sleeve gastrectomy. Plication of the greater curvature produces a restrictive mechanism that causes weight loss. The results of the first cases where this technique has been applied in this hospital are presented.
A review was made of patients operated on in our hospital between November 2009 and December 2010. Plication of the gastric greater curvature was performed under general anaesthetic and by laparoscopy using 3 lines of sutures and with an orogastric probe as a guide. The results of the morbidity, mortality and weight loss are presented.
A total of 13 patients were operated on (7 women). The maximum body mass index (BMI) varied between 37.11 kg/m² and 51.22 kg/m² at the time of the operation. The most frequently found morbidity was nausea and vomiting. Two patients required further surgery due intractable vomiting and total dysphagia; in one the plication unfolded, and in the second it was converted into vertical gastrectomy.
Laparoscopic Gastric Plication is a new surgical technique which gives equivalent short-term results as vertical gastrectomy. It is a reproducible and reversible technique with results and indications still to be validated.
腹腔镜胃折叠术是一种源自袖状胃切除术的新技术。大弯侧折叠可产生一种限制机制，从而导致体重减轻。本文展示了本院首例应用该技术的病例结果。
回顾了2009年11月至2010年12月间在本院接受手术的患者。在全身麻醉下通过腹腔镜进行胃大弯侧折叠术，使用3排缝线并以鼻胃管作为引导。呈现了发病率、死亡率和体重减轻的结果。
共对13例患者进行了手术（7名女性）。手术时最大体重指数（BMI）在37.11kg/m²至51.22kg/m²之间。最常见的并发症是恶心和呕吐。两名患者因顽固性呕吐和完全吞咽困难需要进一步手术；其中一例折叠处展开，另一例则转为垂直胃切除术。
腹腔镜胃折叠术是一种新的手术技术，其短期效果与垂直胃切除术相当。这是一种可重复且可逆的技术，但其结果和适应症仍有待验证。
