Outpatient laparoscopic sleeve gastrectomy: first 100 cases.
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.


METHODS
Study design was a prospective prospective observational, nonrandomized study, registered (ClinicalTrials.gov identifier: NCT01513005), with institutional review board approval and written informed consent.


METHODS
Amiens University Medical Center.


METHODS
Patients undergoing SG who were preselected by inclusion ambulatory criteria.


METHODS
All patients operated on for obesity by laparoscopic SG, from May 2011 through July 2013.


METHODS
We collected outcomes data on 100 patients including incidence of postoperative nausea and vomiting, maximum and average pain scores, and the overall satisfaction rate.


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.
Department of Anesthesiology and Critical Care, Amiens University Medical Center, Avenue René Laennec, F-80054, Amiens cedex 01, France. Electronic address: badaoui.rachid@chu-amiens.fr.
Rachid
R
Badaoui
Department of Anesthesiology and Critical Care, Amiens University Medical Center, Avenue René Laennec, F-80054, Amiens cedex 01, France.
Youssef
Y
Alami Chentoufi
Department of Anesthesiology and Critical Care, Amiens University Medical Center, Avenue René Laennec, F-80054, Amiens cedex 01, France.
Abdelhakim
A
Hchikat
Department of Digestive Surgery, Amiens University Medical Center, Avenue René Laennec, F-80054, Amiens cedex 01, France.
Lionel
L
Rebibo
Department of Anesthesiology and Critical Care, Amiens University Medical Center, Avenue René Laennec, F-80054, Amiens cedex 01, France.
Ivan
I
Popov
Department of Digestive Surgery, Amiens University Medical Center, Avenue René Laennec, F-80054, Amiens cedex 01, France.
Abdennaceur
A
Dhahri
Department of Anesthesiology and Critical Care, Amiens University Medical Center, Avenue René Laennec, F-80054, Amiens cedex 01, France.
Ghada
G
Antoun
Department of Digestive Surgery, Amiens University Medical Center, Avenue René Laennec, F-80054, Amiens cedex 01, France.
Jean-Marc
JM
Regimbeau
Department of Anesthesiology and Critical Care, Amiens University Medical Center, Avenue René Laennec, F-80054, Amiens cedex 01, France.
Emmanuel
E
Lorne
Department of Anesthesiology and Critical Care, Amiens University Medical Center, Avenue René Laennec, F-80054, Amiens cedex 01, France.
Hervé
H
Dupont
D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D000758:Anesthesia / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000601:surgery*; D061646:Operative Time; D010149:Postoperative Pain / Q000453:epidemiology; D017060:Patient Satisfaction; D018579:Patient Selection; D011182:Postoperative Care; D020250:Postoperative Nausea and Vomiting / Q000453:epidemiology; D011446:Prospective Studies; D016896:Treatment Outcome; D055815:Young Adult
Ambulatory; Anesthesia; Bariatric surgery; Laparoscopy; Obesity; Sleeve gastrectomy