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Feasibility of Laparoscopic Sleeve Gastrectomy in Day Case Surgery

Not Applicable
Completed
Conditions
Obesity
Interventions
Procedure: Laparoscopic Sleeve Gastrectomy
Registration Number
NCT01513005
Lead Sponsor
Centre Hospitalier Universitaire, Amiens
Brief Summary

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.

Detailed Description

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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • sufficient understanding
  • good observance of medical prescription
  • availability of a responsible adult for the first operative night
  • patients living nearby the hospital (1 h maximum away)
  • telephonic accessibility
  • between 18 and 60 years old adults
  • body mass index less than 60 kg/m2
  • obesity requiring bariatric surgery
  • surgery validated by an obesity-related staff
Exclusion Criteria
  • patient under administrative or legal protection
  • obesity without HAS criteria
  • cardiovascular comorbidity
  • pulmonary comorbidity
  • curative anticoagulant therapy
  • bad diabetes control
  • body mass index higher than 60 kg/m2

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Laparoscopic Sleeve GastrectomyLaparoscopic Sleeve Gastrectomy-
Primary Outcome Measures
NameTimeMethod
unexpected admission ratethe day following the surgery

the unexpected admission rate corresponds to the number of overnight hospitalization i.e. the number of patients not treated considering a Day-Case Surgery.

Secondary Outcome Measures
NameTimeMethod
readmission rateone year

the readmission rate is defined as the number of readmission with conventional hospitalization

overall length of stayone year

the overall length of stay corresponds to the duration of all hospitalizations i.e. between the surgical procedure and the end of follow up.

per operative outcomesone year

the per operative outcomes include each event observed during the surgical procedure

unexpected consultation rateone year

the unexpected consultation rate corresponds to the number of consultations after the Laparoscopic Sleeve Gastrectomy because of a postoperative outcome (adverse event, pain...)

reoperation rateone year
postoperative outcomesone year

the postoperative outcomes include all outcomes reported during the follow-up period

efficiency of Laparoscopic Sleeve Gastrectomysix months

the efficiency of Laparoscopic Sleeve Gastrectomy is evaluated with the BAROS questionnaire

Trial Locations

Locations (1)

North Universitary Hospital

🇫🇷

Amiens, France

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