E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Anesthesia management in laparoscopic sleeve gastrectomy: Outcomes of 81 patients

Yeliz Kl, Ayten Bilir, Bartu Badak.

Abstract
Background: Anesthesia management has critical role in the effectiveness of laparoscopic sleeve gastrectomy (LSG), due to the significant anatomic, physiological, and pathological challenges in obese population.
Aim: To report and discuss our anesthetic management outcomes in patients who underwent LSG.
Methods: Data of 81 obese patients who underwent LSG were retrospectively analyzed. All techniques used in the anesthesia management were compared between each other in terms of complications, duration of surgery intensive care unit (SICU) stay, total hospitalization time. Results: Two different protocols were used for induction of anesthesia: propofol-based protocol (n=27) and thiopental sodium-based protocol (n=54). Anesthesia was maintained by sevoflurane (n=59) or desflurane (n=22) inhalation. All anesthesia-related complications were found in thiopental sodium group (p=0.026). Sevoflurane and desflurane were similar in anesthesia-related complication, duration of SICU stay and total hospitalization time. Presence of obstructive sleep apnea (OSA) and coexisting chronic disease were found to be associated with longer SICU stay (p<0.001).
Conclusion: Propofol seemed to be safer than thiopental sodium in terms of anesthesia-related complication. Sevoflurane and desflurane were similar in anesthesia-related complication, duration of SICU stay and total hospitalization time. Presence of OSA was significantly associated with increased risk of anesthesia-related complication and longer SICU stay.

Key words: Key words: Anesthesia, laparoscopic sleeve gastrectomy, obesity, obstructive sleep apnea


 
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How to Cite this Article
Pubmed Style

Kilic Y, Bilir A, Badak B, . Anesthesia management in laparoscopic sleeve gastrectomy: Outcomes of 81 patients. Int J Surg Med. 2019; 5(3): 131-136. doi:10.5455/ijsm.Anesthesia-in-laparoscopic-sleeve-gastrectomy


Web Style

Kilic Y, Bilir A, Badak B, . Anesthesia management in laparoscopic sleeve gastrectomy: Outcomes of 81 patients. http://www.ejos.org/?mno=49890 [Access: September 17, 2019]. doi:10.5455/ijsm.Anesthesia-in-laparoscopic-sleeve-gastrectomy


AMA (American Medical Association) Style

Kilic Y, Bilir A, Badak B, . Anesthesia management in laparoscopic sleeve gastrectomy: Outcomes of 81 patients. Int J Surg Med. 2019; 5(3): 131-136. doi:10.5455/ijsm.Anesthesia-in-laparoscopic-sleeve-gastrectomy



Vancouver/ICMJE Style

Kilic Y, Bilir A, Badak B, . Anesthesia management in laparoscopic sleeve gastrectomy: Outcomes of 81 patients. Int J Surg Med. (2019), [cited September 17, 2019]; 5(3): 131-136. doi:10.5455/ijsm.Anesthesia-in-laparoscopic-sleeve-gastrectomy



Harvard Style

Kilic, Y., Bilir, A., Badak, B. & (2019) Anesthesia management in laparoscopic sleeve gastrectomy: Outcomes of 81 patients. Int J Surg Med, 5 (3), 131-136. doi:10.5455/ijsm.Anesthesia-in-laparoscopic-sleeve-gastrectomy



Turabian Style

Kilic, Yeliz, Ayten Bilir, Bartu Badak, and . 2019. Anesthesia management in laparoscopic sleeve gastrectomy: Outcomes of 81 patients. International Journal of Surgery and Medicine, 5 (3), 131-136. doi:10.5455/ijsm.Anesthesia-in-laparoscopic-sleeve-gastrectomy



Chicago Style

Kilic, Yeliz, Ayten Bilir, Bartu Badak, and . "Anesthesia management in laparoscopic sleeve gastrectomy: Outcomes of 81 patients." International Journal of Surgery and Medicine 5 (2019), 131-136. doi:10.5455/ijsm.Anesthesia-in-laparoscopic-sleeve-gastrectomy



MLA (The Modern Language Association) Style

Kilic, Yeliz, Ayten Bilir, Bartu Badak, and . "Anesthesia management in laparoscopic sleeve gastrectomy: Outcomes of 81 patients." International Journal of Surgery and Medicine 5.3 (2019), 131-136. Print. doi:10.5455/ijsm.Anesthesia-in-laparoscopic-sleeve-gastrectomy



APA (American Psychological Association) Style

Kilic, Y., Bilir, A., Badak, B. & (2019) Anesthesia management in laparoscopic sleeve gastrectomy: Outcomes of 81 patients. International Journal of Surgery and Medicine, 5 (3), 131-136. doi:10.5455/ijsm.Anesthesia-in-laparoscopic-sleeve-gastrectomy