Outpatient laparoscopic sleeve gastrectomy: first 100 cases

Badaoui, R.; Chentoufi, Youssef Alami; Hchikat, Abdelhakim; Rebibo, Lionel; Popov, I; Dhahri, Abdennaceur; Antoun, Ghada; Régimbeau, Jean-Marc; Lorne, Emmanuel; Dupont, Hervé

doi:10.1016/j.jclinane.2016.03.026

Cited by 36 publications

(11 citation statements)

References 26 publications

(20 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(2–14) Studies on successful same-day discharge after laparoscopic sleeve gastrectomy excluded patients with sleep apnea or cardiac disease, suggesting that same-day discharge after bariatric surgery may be safe in select patients. (15–17) However, in the current study, same-day discharge was associated with higher rates of unplanned postoperative intubation compared to the POD1 discharge, as well as statistically higher rates of cardiac arrest and unplanned admission to the intensive care unit. It is likely that poor patient selection for same-day discharge to an unmonitored setting resulted in higher rates of respiratory and cardiac complications, which in turn may have contributed to the higher mortality observed in the same-day discharge group.…”

Section: Discussioncontrasting

confidence: 52%

Same-Day Discharge after Laparoscopic Roux-en-Y Gastric Bypass: An Analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database

Inaba

Koh

Sujatha-Bhaskar

et al. 2018

Journal of the American College of Surgeons

View full text Add to dashboard Cite

show abstract

Section: Discussioncontrasting

confidence: 52%

Same-Day Discharge after Laparoscopic Roux-en-Y Gastric Bypass: An Analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database

Inaba

Koh

Sujatha-Bhaskar

et al. 2018

Journal of the American College of Surgeons

View full text Add to dashboard Cite

show abstract

“…Cholecystectomy, inguinal hernia repair, fundoplication surgery are some of the surgeries which are done as same-day surgery with good results, both worldwide and at our department [19,20]. Bariatric surgery has also been performed in same-day settings, but with careful patient selection, accepting only patients with minimal surgical risk [6,7,11,13].…”

Section: Discussionmentioning

confidence: 99%

“…Same-day discharge reduces the risk of hospital acquired infections, is cost effective and improves accessibility to bariatric surgery [1]. Moreover, there is a large body of evidence indicating high satisfaction rates among patients who are discharged the same day as gastric banding (GB) (76%) [2], laparoscopic Roux-en-Y gastric bypass (LRYGB) (84%) [3] and sleeve gastrectomy (SG) (92-98%) [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Gastric sleeve resection as day-case surgery: what affects the discharge time?

Aftab

Fagerland

Gondal

et al. 2019

Surgery for Obesity and Related Diseases

View full text Add to dashboard Cite

Background: Sleeve gastrectomy (SG), with its short operating time, is possible to perform as same-day surgery, with the most common reason for requiring overnight hospital stay being post-operative nausea and vomiting. Objective: To demonstrate the feasibility and safety of SG as same-day surgery with regards to complication rate. Additionally, the study aimed to evaluate factors determining the duration of hospital stay, such as type of anesthesia, time of procedure, degree of postoperative nausea and pain, American Society of Anesthesiologists (ASA) score or previous abdominal surgery. Setting: Non-academic primary referral center. Method: A sub-study of a single-center, double blind, randomized controlled trial. Patients included in this study underwent SG and were randomized into one of the two types of anesthesia; Total intravenous anesthesia (TIVA) with propofol, or desflurane. Primary endpoint was the number of patients discharged the same day as surgery. Secondary endpoints were unplanned telephone calls, readmission rate and complication rate. Time of procedure was registered by the staff at the operation theatre. Visual analogue scales (VAS) score estimating patients' intensity of pain and nausea were completed at the postoperative (PO) unit, surgical ward, and 24-48 hours post-operatively. Results: Ninety-three patients were included in the study. Fifty-nine (63%) were discharged the same day as surgery (32 desflurane and 27 TIVA), 30 patients (32%) were discharged one 2 day following surgery, and four patients (4%) were discharged after more than two days (15 desflurane and 19 TIVA). The most common reasons for prolonged stay were pain, nausea and fatigue. Statistical analyses showed no association between day of discharge and the type of anesthesia, time of the procedure, degree of postoperative nausea and vomiting (PONV), pain intensity, ASA score, or previous abdominal surgery. Conclusion: Same-day surgery is feasible and safe in terms of low complication rate. The type of anesthesia, time of procedure, degree of PONV and pain, ASA score and previous abdominal surgery does not appear to affect length of hospital stay.

show abstract

“…Although laparoscopic sleeve gastrectomy in morbidly obese patients has become a routine outpatient procedure in Europe and the USA [ 6 , 7 ], all our patients received perioperative treatment in the hospital for around 5 days. This difference has been considered to be due to the medical insurance systems and the consciousness of Japanese patients and their families with respect to surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting the early post-operative prognosis in morbidly obese surgical patients after laparoscopic sleeve gastrectomy – a retrospective cohort study

et al. 2017

View full text Add to dashboard Cite

BackgroundThe number of morbidly obese patients who have undergone bariatric surgery has been gradually increasing in Japan. These obese patients are often complicated with metabolic, cardiac, respiratory, and other diseases. The aim of this study was to analyze the perioperative clinical course in a retrospective cohort with respect to the utility of anesthesia management in order to prevent longer hospital stays after surgery.FindingsSixty-seven morbidly obese patients who had undergone sleeve gastrectomy were divided into two groups, based upon the duration of postoperative hospital stay; group S was comprised of the patients who were discharged within 5 days after surgery (n = 57) and group L was comprised of those who were discharged after 6 days or more (n = 10). The mean duration of the hospital stay was 4.8 ± 0.4 days and 7.8 ± 1.4 days in groups S and L, respectively. Multivariate logistic regression analysis showed that prolonged anesthesia was a predictor of a longer postoperative hospital stay (p < 0.05). While the difference in BMI was not significantly different, the percentage of patients with BMI ≥ 50 was 12 and 30% in groups S and L, respectively.ConclusionsLonger duration of anesthesia affected the duration of postoperative hospital stay in morbidly obese patients undergoing sleeve gastrectomy. In addition, patients with BMI ≥ 50 might be at risk of longer hospitalization after surgery.

show abstract

Outpatient laparoscopic sleeve gastrectomy: first 100 cases

Cited by 36 publications

References 26 publications

Same-Day Discharge after Laparoscopic Roux-en-Y Gastric Bypass: An Analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database

Same-Day Discharge after Laparoscopic Roux-en-Y Gastric Bypass: An Analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database

Gastric sleeve resection as day-case surgery: what affects the discharge time?

Factors affecting the early post-operative prognosis in morbidly obese surgical patients after laparoscopic sleeve gastrectomy – a retrospective cohort study

Contact Info

Product

Resources

About