Outpatient laparoscopic sleeve gastrectomy: first 100 cases
Affiliation:
1. Department of Anesthesiology and Critical Care, Amiens University Medical Center, Avenue René Laennec, F-80054, Amiens cedex 01, France;2. Department of Digestive Surgery, Amiens University Medical Center, Avenue René Laennec, F-80054, Amiens cedex 01, France;1. Department of Radiology, Cairo University Hospitals, 11256, Cairo, Egypt;1. Department of Anesthesia, The Second Affiliated Hospital of Xuzhou Medical College, Xuzhou 221000, People''s Republic of China;2. Department of Anesthesia, Jiangyin Hospital, Medical College of Southeast University, No. 163, Shoushan Rd, Jiangyin 214400, People''s Republic of China;1. Department of Anesthesiology, Northwestern University Feinberg School of Medicine, 251 E. Huron, Suite F5-704, Chicago, IL 60611, USA;2. Department of Radiology, Northwestern University Feinberg School of Medicine, 676 North St. Clair Street, Suite 800, Chicago, IL 60611, USA;3. Department of Perinatal Pathology, Northwestern University Feinberg School of Medicine, 251 E. Huron, Suite 7-132a, Chicago, IL 60611, USA;1. Massachusetts General Hospital, Harvard School of Medicine, Boston, MA;2. Cedars Sinai Medical Center, Los Angeles, CA
Abstract:
Study objectiveThe development of outpatient surgery was one of the major goals of public health policy in 2010. The purpose of this observational prospective study was to evaluate the feasibility of laparoscopic sleeve gastrectomy (SG) in an ambulatory setting.DesignStudy design was a prospective prospective observational, nonrandomized study, registered (ClinicalTrials.gov identifier: NCT01513005), with institutional review board approval and written informed consent.SettingAmiens University Medical Center.PatientsPatients undergoing SG who were preselected by inclusion ambulatory criteria.InterventionsAll patients operated on for obesity by laparoscopic SG, from May 2011 through July 2013.MeasurementsWe collected outcomes data on 100 patients including incidence of postoperative nausea and vomiting, maximum and average pain scores, and the overall satisfaction rate.Main resultsOf the 100 obese patients, 93% were women. The mean age was 36 years (22-55 years). The mean preoperative body mass index was 42.4 kg/m2. The mean operating time was 60 minutes (range, 30-95 minutes). The overall satisfaction rate was 93% (n = 93). When leaving the postoperative care unit, 94% of patients felt no or mild pain. Eighty-two percent had no postoperative postoperative nausea and vomiting, and 7 patients needed treatment using ondasetron.ConclusionsLaparoscopic SG in an ambulatory setting is feasible with a dedicated anesthesiological approach and an expert surgical team. Appropriate patient selection is important for ensuring safety and quality of care within the outpatient program.
