Factors affecting the early post-operative prognosis in morbidly obese surgical patients after laparoscopic sleeve gastrectomy – a retrospective cohort study

• Published in: JA clinical reports 2017-08, Vol.3 (1), p.47-47, Article 47
• Main Authors: Kobayashi, Takashi, Watanabe, Yoko, Aizawa, Jun, Suzuki, Kenji S.
• Format: Article
• Language: English
• Subjects: Anesthesia management; Anesthesiology; Clinical Research Letter; Critical Care Medicine; Emergency Medicine; Gastrointestinal surgery; Intensive; Medicine; Medicine & Public Health; Morbid obesity; Pain Medicine; Sleeve gastrectomy
• ISSN: 2363-9024; 2363-9024
• DOI: 10.1186/s40981-017-0113-6

Background The number of morbidly obese patients who have undergone bariatric surgery has been gradually increasing in Japan. These obese patients are often complicated with metabolic, cardiac, respiratory, and other diseases. The aim of this study was to analyze the perioperative clinical course in a retrospective cohort with respect to the utility of anesthesia management in order to prevent longer hospital stays after surgery. Findings Sixty-seven morbidly obese patients who had undergone sleeve gastrectomy were divided into two groups, based upon the duration of postoperative hospital stay; group S was comprised of the patients who were discharged within 5 days after surgery ( n  = 57) and group L was comprised of those who were discharged after 6 days or more ( n  = 10). The mean duration of the hospital stay was 4.8 ± 0.4 days and 7.8 ± 1.4 days in groups S and L, respectively. Multivariate logistic regression analysis showed that prolonged anesthesia was a predictor of a longer postoperative hospital stay ( p