Department of Minimally Invasive Digestive Surgery, Antoine-Beclere Hospital, Assistance Publique - Hôpitaux de Paris, F-92140, Clamart, France.
Department of Bariatric Surgery, CHU de la Réunion, Saint Denis, de la Réunion, France.
Obes Surg. 2021 Mar;31(3):1168-1182. doi: 10.1007/s11695-020-05112-z. Epub 2020 Nov 19.
During the last decade, laparoscopic greater curvature plication (LGCP) has been used as a bariatric procedure for the treatment of obesity, regarded as less invasive and less expensive than other surgical bariatric procedures. We aimed to systematically review the literature and highlight recent clinical data regarding outcomes of LGCP in the treatment of obesity.
A comprehensive research of Pubmed database on LGCP was performed. The search was conducted on the first of May 2020 and was not limited to any date range. Outcomes of interest were surgical technique, postoperative complications, weight loss outcomes, comorbidities improvement or resolution, and revisional surgeries after technical failure or weight regain.
Fifty-three articles were eligible for inclusion, with 3103 patients undergoing LGCP (mean age: 13.8-55 years). Mean preoperative body mass index (BMI) ranged from 31.2 to 47.8 kg/m. Mean operative time ranged from 48 to 193 min. Length of hospital stay ranged from 0.75 to 7.2 days. Most studies provided postoperative follow-up up to 12 months. Mean percentage of excess weight loss (%EWL) ranged from 30.2 to 71.1% and 35 to 77.1% at 6 and 12 months post-LGCP, respectively. Only one study followed patients for more than 10 years and mean %EWL at 1, 5, and 10 years was 67%, 55%, and 42%, respectively.
LGCP seems to be an acceptable surgical procedure for the treatment of obesity, especially in centers having a low medical budget. However, most existing comparative studies report superiority of LSG regarding weight loss.
在过去十年中，腹腔镜胃大弯折叠术（LGCP）已被用作治疗肥胖症的减肥手术，因其具有微创和较低的费用，优于其他减肥手术。我们旨在系统地回顾文献，并强调 LGCP 治疗肥胖症的最新临床数据。
对 Pubmed 数据库进行了全面的 LGCP 研究。搜索于 2020 年 5 月 1 日进行，且不受任何日期范围限制。研究的结果为手术技术、术后并发症、体重减轻结果、合并症的改善或缓解以及在技术失败或体重反弹后进行的翻修手术。
53 篇文章符合纳入标准，其中 3103 例患者接受了 LGCP（平均年龄：13.8-55 岁）。术前平均体重指数（BMI）范围为 31.2-47.8kg/m。平均手术时间范围为 48-193 分钟。住院时间范围为 0.75-7.2 天。大多数研究提供了术后 12 个月的随访。术后 6 个月和 12 个月的平均超重体重减轻百分比（%EWL）范围分别为 30.2%-71.1%和 35%-77.1%。仅有一项研究对患者进行了超过 10 年的随访，LGCP 术后 1、5 和 10 年的平均 %EWL 分别为 67%、55%和 42%。
LGCP 似乎是一种治疗肥胖症的可接受的手术方法，特别是在医疗预算较低的中心。然而，大多数现有的对照研究报告称，LSG 在减轻体重方面具有优势。
