The aim of this study is to determinate the feasibility of the Laparoscopic Sleeve Gastrectomy, a bariatric surgery i.e. a surgery as a treatment for obesity, could be proposed as a Day-Case surgery.
The purpose of this study is to investigate whether the patients with morbid obesity requiring a surgical approach by Laparoscopic Sleeve Gastrectomy could be operated according to a "day-case surgery" modality. The sequence of this study is the following: 1. patients consultation for bariatric management: during this consultation, the investigator is looking for exclusion criteria and prescribes laboratory tests. 2. medical records of each patient are reviewed by an obesity-related staff: Laparoscopic Sleeve Gastrectomy is proposed. 3. during a second consultation, the surgeon informed the patient about the proposition of the staff and his potential inclusion in this study 4. after obtained his consent, the surgical procedure is planned and Laparoscopic Sleeve Gastrectomy is done in the Day-Case Surgery Unit. 5. the following day the surgery, a nurse calls the patient to identify a potential postoperative outcome (nausea, vomiting, uncontrolled pain...) 6. the 8th postoperative day, a consultation is done with laboratory tests and dietary follow-up. 7. follow-up consultations are scheduled at 3, 6 and 12 months to evaluate the efficiency of the surgery procedure.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
the operative technique consists in few steps: * position of 4 trocars and insertion of a nasogastric tube * dissection and mobilization of the greater curvature of the stomach * preparation of the stomach for division * gastric partition * extraction of the gastric remnant * postoperative surveillance
North Universitary Hospital
Amiens, France
unexpected admission rate
the unexpected admission rate corresponds to the number of overnight hospitalization i.e. the number of patients not treated considering a Day-Case Surgery.
Time frame: the day following the surgery
readmission rate
the readmission rate is defined as the number of readmission with conventional hospitalization
Time frame: one year
unexpected consultation rate
the unexpected consultation rate corresponds to the number of consultations after the Laparoscopic Sleeve Gastrectomy because of a postoperative outcome (adverse event, pain...)
Time frame: one year
reoperation rate
Time frame: one year
overall length of stay
the overall length of stay corresponds to the duration of all hospitalizations i.e. between the surgical procedure and the end of follow up.
Time frame: one year
per operative outcomes
the per operative outcomes include each event observed during the surgical procedure
Time frame: one year
postoperative outcomes
the postoperative outcomes include all outcomes reported during the follow-up period
Time frame: one year
efficiency of Laparoscopic Sleeve Gastrectomy
the efficiency of Laparoscopic Sleeve Gastrectomy is evaluated with the BAROS questionnaire
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Time frame: six months