Laparoscopic sleeve gastrectomy as day-case surgery: a review of the literature

Rebibo, Lionel; Maurice, Karim K.; Nimier, M.; Rehouma, Mouna Ben; Montravers, Philippe; Msika, Simon

doi:10.1016/j.soard.2019.03.020

Cited by 19 publications

(5 citation statements)

References 29 publications

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“…However, it is very infrequent. A recent literature review that analyzed 6,227 day-case SG found a 0.3% postoperative bleeding rate [25]. Similarly, we have found that 1.1% and 0.2% of patients who underwent same-day discharge SG were readmitted due to vomiting and bleeding, respectively.…”

Section: Discussionsupporting

confidence: 68%

Risk Factors for Readmission After Same-Day Discharge Sleeve Gastrectomy: a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database Analysis

et al. 2022

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Background Same-day discharge after sleeve gastrectomy (SG) is gaining popularity. We aimed to determine risk factors associated with readmission in patients who underwent same-day discharge SG. Methods We performed a retrospective analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database for the period 2015-2018. Patients who underwent SG and were discharged the same day of the operation were included in the analysis. Multivariable logistic regression analysis was performed to determine risk factors for readmission. Results A total of 466,270 SG were performed during the study period; 14,624 (3.1%) patients were discharged the same day and were included in the analysis. Mean age was 43.4 (14.7-80) years and 11,718 (80.1%) were female. Mean preoperative BMI was 43.7 ± 7.4 kg/m 2 . Mean operative time was 58.3 ± 32.4 min. Thirty-day reoperation, reintervention, and mortality rates were 0.7%, 0.7%, and 0.1%, respectively. Readmission rates were similar in same-day discharge and inpatient SG (2.9% vs. 3%, p = 0.5). Female sex (OR 1.52, 95% CI 1.15-2.00), preoperative gastroesophageal reflux disease (OR 1.33, 95% CI 1.08-1.64), renal insufficiency (OR 3.06, 95% CI 1.01-9.32), and intraoperative drain placement (OR 1.78, 95% CI 1.37-2.31) were independent risk factors for readmission following same-day discharge SG. Conclusions Same-day discharge SG appears to be safe and is associated with low readmission rates. However, the identification of preoperative and intraoperative variables associated with higher risk of readmission might help defining safer and more effective same-day discharge protocols.

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Section: Discussionsupporting

confidence: 68%

Risk Factors for Readmission After Same-Day Discharge Sleeve Gastrectomy: a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database Analysis

et al. 2022

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“…Compared with Roux-en-Y gastric bypass surgery, LSG has shown lower morbidity [ 11 ]. The morbidity rate associated with LSG ranges from 0–16.7% [ 4 , 12 ]. In a meta-analysis of 1,112 cases post-LSG, 1.35% included gastric bleeding, 0.84% included abdominal abscess, 0.17% included internal abdominal hernia, 0.17% included gastric leakage, 4.9% included reflux, and 0.34% included gastric ulcers [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Bariatric surgery has shown effectiveness in the management of morbid obesity. Laparoscopic sleeve gastrectomy (LSG) has become the most popular bariatric procedure due to its simple management, effective treatment outcome, and low morbidity [ 4 ]. However, some severe postoperative complications have not yet been noticed.…”

Section: Introductionmentioning

confidence: 99%

Mesenteric Vein Thrombosis following Sleeve Gastrectomy: A Case Report and Review of the Literature

Ma,

Zhao,

Zhang

et al. 2024

Obes Facts

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Introduction: Acute mesenteric ischemia (AMI) is a rare but lethal disease. Mesenteric venous thrombosis (VAMI) is a subtype of AMI. Morbid obesity is usually accompanied by hypertension, hyperlipidemia or diabetes mellitus, which are risk factors associated with AMI. Case presentation: We present a 28-year-old man with mesenteric venous thrombosis post laparoscopic sleeve gastrectomy (LSG). He was first misdiagnosed with intestinal obstruction. Superior mesenteric vein thrombosis was confirmed after computed tomography angiography (CTA). Laparotomy, resection of necrotic small bowel and ostomy were performed immediately. Conclusion: Patients with morbidly obese accompanied by hypertension, hyperlipidemia or diabetes mellitus have a high risk of AMI. Abdominal pain with sudden onset should be considered as AMI. Anticoagulation therapy post sleeve gastrectomy might help to reduce the incidence of AMI.

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“…Some literature reports have also demonstrated that a continuous weight loss of more than 10% can improve many obesity-related complications, such as type 2 diabetes, hypertension, fatty liver disease, obstructive sleep apnea, and, as well as, improve quality of life [6] . LSG surgery even serves as a precedent for daytime surgery due to its advantages of simplicity, short surgical time, and relatively simple postoperative management [7] . Furthermore, in terms of cost, there is no statistically signi cant difference between robotic sleeve gastrectomy (RSG) and LSG surgery [8] .…”

Section: Introductionmentioning

confidence: 99%

Composition And Influencing Factors of Hospital Expenses in Patients with Laparoscopic Sleeve Gastrectomy

Guo,

Wang,

Yin

et al. 2023

Preprint

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Objective: To determine the composition and influencing factors of hospital expenses of patients undergone laparoscopic Sleeve Gastrectomy (LSG) in an effort to reasonably control the hospital costs and reduce the economic burden of patients. Method: The inpatient expenses of 574 patients with LSG surgery from January 1, 2019, to December 31, 2022, in a tertiary hospital in China were retrospectively studied. Descriptive statistics were used to analyze the composition of inpatient expenses. The mean values between the two groups were compared using the independent t-test, and the mean values between multiple groups were compared using an ANOVA test. The effective results of Mono-factor analysis were further analyzed by multiple linear regression analysis. Result: (1) The result indicated an upward trend in hospital expenses among LSG patients over the past four years, with an average cost of 53241.87 RMB. The major components of hospital charge were: operation costs of 7109.60 RMB (13.35%) and disposable material costs of 13849.69 RMB (26.01%), accounting for 39.36% of the total hospital costs. (2) The results of multiple linear regression analysis were observed that F=33.478, P<0.05. Gender, complications, number of other diagnoses, year of discharge, age and length of stay were the important factors affecting hospital expenses. Hospitalization expenses were higher for male patients than female patients, which increased as comorbidities, age, postoperative complications, and length of stay increased. Conclusion: High operation costs and continuously rising material costs contribute to rising hospitalization expenses for LSG patients. Early operation to reduce weight, control of obesity-related comorbidities, reducing postoperative complication risk, reasonable control of hospitalization time, and more effective surgical costs management can significantly reduce hospitalization costs for this patient group.

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Laparoscopic sleeve gastrectomy as day-case surgery: a review of the literature

Cited by 19 publications

References 29 publications

Risk Factors for Readmission After Same-Day Discharge Sleeve Gastrectomy: a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database Analysis

Risk Factors for Readmission After Same-Day Discharge Sleeve Gastrectomy: a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Database Analysis

Mesenteric Vein Thrombosis following Sleeve Gastrectomy: A Case Report and Review of the Literature

Composition And Influencing Factors of Hospital Expenses in Patients with Laparoscopic Sleeve Gastrectomy

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