>Introduction: Laparoscopic gastric plication (LGCP) reduces gastric volume without resecting or implanting a foreign body. Although still considered investigational, it could be appropriate for young patients with a low body mass index (BMI) and for those unwilling to undergo sleeve gastrectomy, gastric banding, or bypass.>Objectives: The aim of this study was to assess the mid-term results (2 years) of LGCP in terms of safety and efficacy.>Methods: A total of 56 obese patients (47 female; mean age=30.5±11.7 years; mean BMI=40.31±4.7 kg/m2) were candidates for LGCP from January 2011 to October 2013. Early and late complications, BMI, and excess BMI loss (EBL) were prospectively recorded at 3, 6, 9, 12, 18, and 24 months follow-up.>Results: Mean operative time was 72.4±15.6 minutes. No conversion was required. Mean hospital stay was 3 days. Mean %EBL was 34.3±18.40%, 40.1±24.5%, 47.4±30.2%, 46.5±34.6%, 47.8±43.2%, and 55.3±53.6% at 3, 6, 9, 12, 18, and 24 months, respectively. The overall complication rate was 32.14%. Perioperative mortality was zero. Surgical revision was needed in 30 patients: 12 for unsatisfactory weight loss and 18 for gastric prolapse (one acute within 30 days), respectively.>Conclusion: LGCP showed high complication rates requiring surgical revision.
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机译：>简介：腹腔镜胃镜手术（LGCP）可减少胃体积，而不会切除或植入异物。尽管仍被认为是研究性的，但它对于低体重指数（BMI）的年轻患者以及不愿进行袖状胃切除术，胃束带术或搭桥术的患者可能是合适的。>目的： >方法：：共有56例肥胖患者（47名女性；平均年龄= 30.5±11.7岁；平均BMI）用于评估LGCP的中期结果（2年）。 = 40.31±4.7 kg / m 2 ）为2011年1月至2013年10月的LGCP候选者。前期和晚期并发症，BMI和过量BMI损失（EBL）分别记录在3、6、9 ，12、18和24个月的随访。>结果：平均手术时间为72.4±15.6分钟。无需转换。平均住院时间为3天。在3、6、9、12、18和24个月时，平均％EBL分别为34.3±18.40％，40.1±24.5％，47.4±30.2％，46.5±34.6％，47.8±43.2％和55.3±53.6％ 。总体并发症发生率为32.14％。围手术期死亡率为零。 30例患者需要进行手术矫正：体重减轻不佳的12例和胃脱垂的18例（30天内急性发作）。>结论： LGCP的并发症发生率很高，需要进行手术矫正。
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