Feasibility of Laparoscopic Sleeve Gastrectomy in 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:

• patients consultation for bariatric management: during this consultation, the investigator is looking for exclusion criteria and prescribes laboratory tests.
• medical records of each patient are reviewed by an obesity-related staff: Laparoscopic Sleeve Gastrectomy is proposed.
• during a second consultation, the surgeon informed the patient about the proposition of the staff and his potential inclusion in this study
• after obtained his consent, the surgical procedure is planned and Laparoscopic Sleeve Gastrectomy is done in the Day-Case Surgery Unit.
• the following day the surgery, a nurse calls the patient to identify a potential postoperative outcome (nausea, vomiting, uncontrolled pain...)
• the 8th postoperative day, a consultation is done with laboratory tests and dietary follow-up.
• follow-up consultations are scheduled at 3, 6 and 12 months to evaluate the efficiency of the surgery procedure.

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