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Outpatient laparoscopic sleeve gastrectomy: first 100 cases
Rachid Badaoui1, Youssef Alami Chentoufi1, Abdelhakim Hchikat1
1Department of Anesthesiology and Critical Care, Amiens University Medical Center, Avenue René Laennec, F-80054, Amiens cedex 01, France.
Journal of Clinical Anesthesia
|October 1, 2016
Summary
Laparoscopic sleeve gastrectomy (SG) is feasible in an ambulatory setting for obese patients. This approach demonstrates high patient satisfaction and manageable pain, nausea, and vomiting.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Outpatient Procedures
Background:
- Public health policy in 2010 prioritized outpatient surgery.
- Evaluating the feasibility of laparoscopic sleeve gastrectomy (SG) in an ambulatory setting is crucial.
Purpose of the Study:
- To assess the feasibility of laparoscopic sleeve gastrectomy (SG) in an outpatient setting.
- To evaluate patient outcomes and safety in ambulatory SG.
Main Methods:
- Prospective observational, nonrandomized study at Amiens University Medical Center.
- Included 100 preselected obese patients undergoing laparoscopic SG from May 2011 to July 2013.
- Collected data on postoperative nausea, vomiting, pain, and patient satisfaction.
Main Results:
- 93% of 100 obese patients were women, with a mean age of 36 and BMI of 42.4 kg/m(2).
- Mean operating time was 60 minutes; overall satisfaction was 93%.
- 94% experienced no/mild pain postoperatively, 82% had no nausea/vomiting.
Conclusions:
- Laparoscopic SG is feasible in an ambulatory setting with expert teams and anesthesiology.
- Careful patient selection is key to ensuring safety and quality in outpatient SG programs.
