Does the future of laparoscopic sleeve gastrectomy lie in the outpatient surgery center? A retrospective study of the safety of 3162 outpatient sleeve gastrectomies

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Amit SurveBenjamin Horsley

Abstract

Laparoscopic sleeve gastrectomy (LSG) is a safe and effective procedure that can be performed as an outpatient procedure. The aim of the study was to determine whether same-day discharge LSG is safe when performed in an outpatient surgery center. Outpatient surgery centers. The medical records of 3162 patients who underwent primary LSG procedure by 21 surgeons at 9 outpatient surgery centers from January 2010 through February 2018 were retrospectively reviewed. Three thousand one hundred sixty-two patients were managed with enhanced recovery after surgery protocol and were included in this analysis. The mean age and preoperative body mass index were 43.1 ± 10.8 years and 42.1 ± 7.1 kg/m2, respectively. Sleep apnea, type 2 diabetes, gastroesophageal reflux disease, hypertension, and hyperlipidemia were seen in 14.4%, 13.5%, 24.7%, 30.4%, and 17.6% patients, respectively. The mean total operative time was 56.4 ± 16.9 minutes (skin to skin). One intraoperative complication (.03%) occurred. The hospital transfer rate was .2%. The 30-day follow-up rate was 85%. The postoperative outcomes were analyzed based on the available data. The 30-day readmission, reoperation, reintervention, and emergency room visit rates were .6%, .6%, .2%, ...Continue Reading

Citations

Oct 13, 2019·World Journal of Surgery·Jamie R RobinsonJoshua C Denny
Apr 14, 2020·International Anesthesiology Clinics·Joy L ChenTiffany S Moon
Aug 18, 2020·The Journal of Surgical Research·Srinivas Joga IvaturyLauren R Wilson
Aug 28, 2020·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Sule YalcinMark L Wulkan
Oct 3, 2020·American Journal of Surgery·Rigoberto GutierrezFarzaneh Banki

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