Safety and efficacy of outpatient sleeve gastrectomy: 2534 cases performed in a single free-standing ambulatory surgical center |
| |
| Affiliation: | 1. Department of Surgery, Mayo Clinic, Jacksonsville, Florida;2. Department of Surgery, Temple University Hospital, Philadelphia, Pennsylvania;3. Department of Clinical Sciences, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania;1. Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, TX, USA;2. Department of Orthopaedic Surgery, Stanford University Medical Center, Stanford, CA, USA;1. Department of General Surgery, Center Hospitalier Intercommunal de Créteil, Créteil, France;2. INSERM, UMR_S 1138, Université Paris Descartes, Centre de Recherche des Cordeliers, Paris, France;3. Assistance Publique - Hôpitaux de Paris, Hôpital Européen Georges-Pompidou, Unité d’Épidémiologie et de Recherche Clinique, Paris, France;4. INSERM, Centre d’Investigation Clinique 1418, module Épidémiologie Clinique, Paris, France;5. Faculté de Médecine, Université Paris Descartes, Paris, France;6. Assistance Publique - Hôpitaux de Paris, Hôpital Cochin, Service de Chirurgie Générale, Plastique et Ambulatoire, Paris, France;1. Center for Bariatric Surgery, Department of Surgery, McGill University, Montreal, Quebec, Canada;2. Division of Cancer Epidemiology, McGill University, Montreal, Quebec, Canada |
| |
| Abstract: | BackgroundSleeve gastrectomy (SG) is currently the most widely performed operation for treatment of morbid obesity. SG leads to significant weight loss and reduction in weight related comorbidities. Procedures performed in ambulatory surgical centers (ASC) can provide several advantages over hospital-based surgery. We present results of 2,534 consecutive patients who underwent SG in an ASC.ObjectiveAssess the safety and efficacy of outpatient SG in a freestanding ASC.SettingFree-standing ASC, Eviva Bariatrics, Seattle WA.MethodsData was collected retrospectively for all patients undergoing SG from January 2008 – January 2018, n = 2,534. Revisional procedures were not excluded from this study. Patients were excluded from the ASC if they weighed >450 pounds, if anticipated surgery time was > 2 hours, if the patient had impaired mobility limiting early ambulation, or if there were medical problems requiring postoperative monitoring beyond 23 hours.ResultsMean age was 45.9 years. Mean preoperative body mass index (BMI) was 41.9. Mean operative time was 70 minutes. 30-day complications included 3 mortalities (0.12%), 60 (2.53%) re-admissions, 35 (1.42%), re-operations, and 31 (1.22%) direct transfers from the ASC to a nearby hospital. There were 25 staple line leaks (0.99%). There were no open conversions. At 6 months average excess body weight loss (EWL) was 56.3% and total weight loss (TWL) was 20.9% (n = 1,758/2,303). At 1 year, EWL was 70.1% and TWL was 26.4% (n = 1,199/2,125).ConclusionWith experienced surgeons, appropriate protocols, and a consistent operative team, SG can be performed safely in a free-standing ASC. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
