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Updated: Feb 6, 2026
05:16
Sleeve Gastrectomy in Mice using Surgical Clips
Published on: November 14, 2020
7.4K
How safe is same-day discharge after laparoscopic sleeve gastrectomy?
Colette S Inaba1, Christina Y Koh1, Sarath Sujatha-Bhaskar1
1Department of Surgery, University of California Irvine Medical Center, Orange, California.
Summary
Same-day discharge after laparoscopic sleeve gastrectomy (LSG) increases complications and readmissions. First-day postoperative discharge remains safer for patients undergoing LSG, with no difference in mortality.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Surgical Outcomes
Background:
- Laparoscopic sleeve gastrectomy (LSG) is a common bariatric procedure with generally low complication rates.
- Limited data exists regarding the safety and efficacy of same-day discharge following LSG.
Purpose of the Study:
- To compare the outcomes of same-day versus first-postoperative-day (POD1) discharge after LSG.
- To identify potential risks associated with early discharge after LSG.
Main Methods:
- Analysis of the 2015-2016 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program national database.
- Inclusion of elective LSG cases, excluding open, revisional, or converted procedures.
- Multivariate analysis to compare adjusted 30-day mortality, morbidity, readmission, and reoperation rates between same-day and POD1 discharge groups.
Main Results:
- A total of 85,321 LSG cases were analyzed, with 4,728 same-day discharges and 80,593 POD1 discharges.
- Same-day discharge was linked to significantly higher overall morbidity (1.31% vs. 0.84%), readmission rates (2.14% vs. 1.64%), and reoperation rates (0.61% vs. 0.27%).
- No statistically significant difference in 30-day mortality was observed between the two groups.
Conclusions:
- Same-day discharge after LSG is associated with an increased risk of complications, readmissions, and reoperations compared to POD1 discharge.
- Further research is necessary to establish objective criteria for determining safe same-day discharge eligibility after LSG.
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