Elizabeth M Carr1, Samaad Malik, BSc, MSc, MD, FRCSC2. 1University of Victoria, 2Unit of British Columbia, Island Medical Program Victoria General Hospital
Introduction: Laparoscopic sleeve gastrectomy has become the most common procedure for patients with morbid obesity worldwide. Dedicated bariatric surgery programs have become the central intake for patients; however, there is limited evidence to show improved outcomes with this approach. This study aims to evaluate surgical outcomes following laparoscopic sleeve gastrectomy (LSG) procedures pre- and post- implementation of a formal bariatric surgery program (BSP).
Methods and Procedures: A retrospective analysis of surgical outcomes for patients undergoing LSG pre-BSP implementation from December 20, 2011 to December 31, 2014 to post-BSP implementation January 01, 2015 to May 14, 2018 was conducted. Data was analyzed from the Plexia EMR system from patients that had undergone LSGs performed by a same single surgeon in Victoria, BC, CANADA. Patients who were considered for revisional bariatric surgery were excluded from analysis. Patient demographics, operative time, complications, and length of postoperative stay (LOS) were statistically analyzed utilizing an unpaired two sample t-test.
Results: A total of 381 patients were included in the study, 309 (81.1%) patients were female and 72 (18.9%) patients were male. Mean age was 47.1 ± 10.4 years, with a mean pre-operative BMI of 44.9 ± 6.1 kg/m2. Pre-BSP mean OR time was 55.8 ± 10.0 minutes, and the post-BSP mean OP time was 57.3 ± 27.8 minutes. There were no sleeve leaks nor deaths in our study. Three (0.9%) patients returned to hospital postoperatively, for dehydration and pain. The average length of postoperative stay was reduced from 2.3 ± 0.75 days pre-institution to 1.3 ± 0.65 days post-institution (P<0.001).
Conclusion(s): Implementation of a formal bariatric institution may correlate with reduced postoperative length of stay for LSG procedures. More studies are required to ensure BSPs are improving surgical and patient outcomes.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94666
Program Number: P164
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster