Outpatient laparoscopic sleeve gastrectomy: first 100 cases
| Autor: | Jean-Marc Regimbeau, Ivan Popov, Emmanuel Lorne, Ghada Antoun, Abdennaceur Dhahri, Rachid Badaoui, Youssef Alami Chentoufi, Hervé Dupont, Lionel Rebibo, Abdelhakim Hchikat |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Sleeve gastrectomy medicine.medical_specialty medicine.medical_treatment Operative Time Outpatient surgery 030209 endocrinology & metabolism Young Adult 03 medical and health sciences 0302 clinical medicine Patient satisfaction Gastrectomy medicine Humans Anesthesia Obesity Prospective Studies Prospective cohort study Postoperative Care Pain Postoperative Surgical team business.industry Patient Selection General surgery Middle Aged Ambulatory Surgical Procedure Treatment Outcome Anesthesiology and Pain Medicine Ambulatory Surgical Procedures Patient Satisfaction Postoperative Nausea and Vomiting Ambulatory Feasibility Studies Female Laparoscopy 030211 gastroenterology & hepatology medicine.symptom business Postoperative nausea and vomiting |
| Zdroj: | Journal of Clinical Anesthesia. 34:85-90 |
| ISSN: | 0952-8180 |
| DOI: | 10.1016/j.jclinane.2016.03.026 |
| Popis: | Study objective The 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. Design Study design was a prospective prospective observational, nonrandomized study, registered (ClinicalTrials.gov identifier: NCT01513005), with institutional review board approval and written informed consent. Setting Amiens University Medical Center. Patients Patients undergoing SG who were preselected by inclusion ambulatory criteria. Interventions All patients operated on for obesity by laparoscopic SG, from May 2011 through July 2013. Measurements We collected outcomes data on 100 patients including incidence of postoperative nausea and vomiting, maximum and average pain scores, and the overall satisfaction rate. Main results Of 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/m 2 . 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. Conclusions Laparoscopic 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. |
| Databáze: | OpenAIRE |
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