Anesthesia management in laparoscopic bariatric surgery: Perioperative complications and outcomes in the third year of practice

Abstract

Objective: In this study, we aimed to assess the perioperative and postoperative results of the patients who underwent bariatric surgery. Methods: After obtaining approval, a retrospectively designed observational study was conducted. All adult patients who underwent laparoscopic gastric plication, sleeve gastrectomy, or roux-en-Y anastomosis between January 2011 and May 2013 were included. Results: A total of 104 patients were included in the study period: 49 (47.1%) underwent laparoscopic roux-en-Y anastomosis, 44 (42.3%) underwent laparoscopic sleeve gastrectomy, and 11 (10.6%) underwent laparoscopic gastric plication. The present study showed a mortality rate of 1.9% (n = 2, one after Roux-en-Y anastomosis operation, and the other one after gastric plication). Conclusion: The anesthesia methods and approaches have no association with morbidity and mortality in such procedures of bariatric surgery indicated in the present study. J Clin Exp Invest 2014; 5 (2): 200-205

Keywords

• Obesity, bariatric surgery, anesthesia, laparoscopy.

Laparoskopik bariatrik cerrahide anestezi yönetimi: 3 yıllık uygulamada perioperatif komplikasyonlar ve sonuçlar

Öz

Amaç: Bu çalışmada, bariatrik cerrahi operasyonu geçiren hastaların perioperatif ve postoperatif sonuçlarının değerlendirilmesi amaçlanmıştır. Yöntemler: Onam alındıktan sonra, retrospektif tasarlanan gözlemsel çalışma yapıldı. Ocak 2011 ve Mayıs 2013 yılları arasında laparoskopik gastrik plikasyon, sleeve gastrektomi ve roux-en-Y anastomoz operasyonları geçiren tüm yetişkin hastalar çalışmaya dâhil edildi. Bulgular: Çalışma süresince toplam 104 hasta dâhil edildi ve bunların; 49 (%47.1)'u laparoskopik roux-en-Y anastomoz, 44 (%42.3)'ü laparoskopik gastrik plikasyon, ve 11 (%10.6)'i laparoskopik gastrik plikasyon idi. Yapılan çalışmada %1.9 mortalite oranı (n = 2, roux-en-Y anastomoz operayonundan sonra bir vaka, ve gastrik plikasyon operasyonundan sonra bir vaka) saptanmıştır. Sonuç: Çalışmada belirtilen bariatrik cerrahi prosedürlerinde, morbidite ve mortalite ile anestezi metodu ve yaklaşımı arasında bir ilişki yoktur.

Anahtar Kelimeler

• Obezite, obezite cerrahisi, anestezi, laparoskopi

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