title: Four-year experience with outpatient laparoscopic adjustable gastric banding.
abstract: BACKGROUND
  Outpatient laparoscopic procedures have been performed in various fields of surgery, and laparoscopic gastric banding is no exception. We present our series of outpatient laparoscopic adjustable gastric banding procedures performed at 2 centers.
  
  
  METHODS
  A total of 348 patients were retrospectively analyzed. All patients met the National Institutes of Health criteria for bariatric surgery. Additionally, to be included in an outpatient surgery procedure, patients had to meet 4 other criteria: body mass index<55, American Society of Anesthesiologists class ≤ 3, no extensive abdominal surgical history (in the upper gastrointestinal tract), and no untreated sleep apnea.
  
  
  RESULTS
  There were 282 women and 66 men, with a mean age of 41.3 years. The mean preoperative weight and BMI were 266.7 pounds and 43.1 kg/m(2), respectively. The median operative time was 70 minutes, and the median blood loss was 5 mL. The median length of stay was .3 day (range .1-.4). Fifty-seven patients underwent additional associated procedures. During follow-up, 20 patients required a reoperation. Two patients required admission to the hospital. There was no perioperative or postoperative mortality. Before discharge, all patients underwent an upper gastrointestinal swallow.
  
  
  CONCLUSIONS
  Outpatient laparoscopic adjustable gastric banding is a well-tolerated, cost-effective bariatric procedure for patients who meet the inclusion criteria.
authors.affiliation: Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois; 900 North Michigan Surgical Center, Chicago, Illinois.
authors.forename: Enrique F
authors.initials: EF
authors.lastname: Elli
authors.forename: Mario A
authors.initials: MA
authors.lastname: Masrur
authors.forename: Mohamed
authors.initials: M
authors.lastname: El Zaeedi
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Galvani
authors.forename: Nader
authors.initials: N
authors.lastname: Bozorgui
authors.forename: Pier C
authors.initials: PC
authors.lastname: Giulianotti
mesh_terms: D000328:Adult; D000553:Ambulatory Care; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D015992:Body Mass Index; D005260:Female; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D061646:Operative Time; D010359:Patient Readmission / Q000706:statistics & numerical data; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies