An Experience of Laparoscopic surgery for Morbid obesity in Faculty of Medicine Vajira hospital

Abstract

Objective: To study outcomes of laparoscopic sleeve gastrectomy for morbidly obese patients in Vajira hospital in term of excess weight loss and improvement of comorbidities.

Methods: Data of all patients who underwent laparoscopic sleeve gastrectomy from July 2012 to April 2013 were collected by reviewing of the medical records and telephone calling to follow up. Collected data were patient’s age, gender, preoperative body weight, body mass index, excess weight, comorbidities, operative time, operative blood loss, postoperative hospital stay, complications, percent of excess weight loss, and improvement of comorbidities.

Results: Our patient’s mean body weight was 113.67 kg, mean excess weight was 55.15 kg, and mean body mass index was 42.69 kg/m2. The mean operative time of laparoscopic sleeve gastrectomy in Vajira hospital was 141.67 minutes and the mean postoperative hospital stay was 3.17 days. No staple line leakage was found. Five patients were followed from 6 to 12 months and the excess weight loss was varied between 31.32 and 104.97%. Remission rate was 100% for diabetes and 66.67% for dyslipidemia. Hypertension was improved in 66.67%.

Conclusion: Although the outcomes in term of excess weight loss were varied in wide range, the outcomes in term of improvement of comorbidities were very impressive in our hospital. Nevertheless, more patients and longer term of follow up were necessary before a strong conclusion was made.