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Laparoscopic sleeve gastrectomy as day-case surgery (without overnight hospitalization)
Lionel Rebibo1, Abdennaceur Dhahri1, Rachid Badaoui2
1Department of Digestive Surgery, Amiens University Hospital and Jules Verne University of Picardie, Amiens, France.
Summary
Day-case sleeve gastrectomy (SG) is feasible for selected patients with morbid obesity, showing acceptable complication and readmission rates. The patient experience and short-term outcomes were comparable to conventional inpatient SG.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Surgical Outcomes Research
Background:
- Day-case surgery (DCS) is increasingly utilized.
- Laparoscopic sleeve gastrectomy (SG) is a common bariatric procedure.
- Evaluating DCS for SG is crucial for patient selection and resource management.
Purpose of the Study:
- To assess the safety and feasibility of performing laparoscopic sleeve gastrectomy (SG) as a day-case procedure.
- To determine the unplanned overnight admission rate for day-case SG.
- To compare the short-term postoperative course of day-case versus conventional SG.
Main Methods:
- Prospective, nonrandomized study of 100 patients undergoing day-case SG.
- Inclusion criteria: patients meeting DCS and morbid obesity treatment criteria.
- Data collection: unplanned overnight admissions, complications, readmissions, patient satisfaction, and short-term outcomes.
Main Results:
- 8 unplanned overnight admissions occurred in 100 patients.
- 5 major complications were recorded, including 3 gastric leaks requiring reoperation.
- 96% patient satisfaction reported; short-term outcomes similar to conventional SG.
Conclusions:
- Day-case sleeve gastrectomy (SG) is feasible in selected morbidly obese patients.
- Acceptable complication and readmission rates support its use.
- The postoperative course is comparable to traditional inpatient SG.
