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Same-day discharge on laparoscopic Roux-en-Y gastric bypass patients: an outcomes review

机译：腹腔镜 Roux-en-Y 胃旁路手术患者的当日出院：结局回顾

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Introduction The objective of this research was to study safety and outcomes in patients who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) on an ambulatory outpatient basis. As the prevalence of morbid obesity increases, more patients are opting for surgical weight loss as a means to combat their chronic disease. There are several studies demonstrating the safety and feasibility of select patients undergoing LRYGB on a 23-h outpatient basis, but few studies exist regarding the safety and efficacy of these procedures being performed on an ambulatory outpatient basis. Methods A retrospective review was completed on all patients who underwent a laparoscopic gastric bypass procedure from 2008 to 2018 at a single outpatient ambulatory surgery center. Median BMI was 46.7 kg/m(2). Inclusion criteria included age > 18 and 55 years, BMI > 55 for men, and BMI > 60 for women. Operations included primary LRYGB procedures. We determined 30-day post-operative morbidity and mortality for all patients. Results There were 398 patients who underwent a LRYGB on an ambulatory basis. After thorough chart review, a total of 362 patients were included. The majority were women (315, 87). The median age was 42 (range 19-65). Seven (1.93) patients were directly admitted to the hospital, while 13 (3.59) patients were admitted to the hospital after initial discharge. There were 3 (0.83) leaks, 4 (1.11) bleeds requiring transfusion, no wound infections, 1 (0.28) obstruction, one (0.28) venous thrombotic event and/or pulmonary embolism, and 9 (2.49) reoperations. There were zero deaths. Conclusions This study demonstrates that laparoscopic Roux-en-Y gastric bypass is both feasible and safe when performed on select patients on an ambulatory outpatient basis.
机译：简介 本研究的目的是研究在门诊接受腹腔镜 Roux-en-Y 胃旁路术 （LRYGB） 的患者的安全性和结果。随着病态肥胖患病率的增加，越来越多的患者选择手术减肥作为对抗慢性疾病的一种手段。有几项研究证明了在门诊 23 小时接受 LRYGB 的特定患者的安全性和可行性，但关于这些手术在门诊进行的安全性和有效性的研究很少。方法 回顾性分析2008—2018年在一家门诊手术中心接受腹腔镜胃旁路手术的所有患者。中位 BMI 为 46.7 kg/m（2）。纳入标准包括年龄> 18 岁和 65 男性、男性 BMI > 55 和女性 BMI > 60。手术包括主要的 LRYGB 手术。我们确定了所有患者的术后30天发病率和死亡率。结果 398例患者行LRYGB门诊行。经过彻底的图表审查，共纳入362例患者。大多数是女性（315人，87%）。中位年龄为42岁（范围19-65岁）。七 （1.93%）患者直接入院，初次出院后入院13例（3.59%）。漏血3例（0.83%），需要输血出血4例（1.11%），无伤口感染，梗阻1例（0.28%），静脉血栓事件和/或肺栓塞1例（0.28%），再手术9例（2.49%）。死亡人数为零。结论 本研究表明，腹腔镜 Roux-en-Y 胃旁路术在门诊对特定患者进行时既可行又安全。

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