Laparoscopic sleeve gastrectomy at a new bariatric surgery centre in Canada: 30-day complication rates using the Clavien–Dindo classification
- 1 April 2016
- journal article
- Published by CMA Impact Inc. in Canadian Journal of Surgery
- Vol. 59 (2), 93-97
- https://doi.org/10.1503/cjs.016815
Abstract
Newfoundland and Labrador (NL) has the highest rate of obesity in Canada, prompting the establishment of a bariatric surgery program at the Health Sciences Centre in NL. This retrospective study examined 30-day complication rates in more than 200 consecutive patients who underwent laparoscopic sleeve gastrectomy (LSG) between May 2011 and February 2014. We performed a chart review and collected data on 30-day postoperative complications. Complications were graded and reported using the Clavien-Dindo classification. Grades I and II were defined as minor and grades III and higher were defined as major complications. We reviewed the charts of the first 209 patients to undergo LSG. The mean body mass index was 49.2, 81% were women and the average age was 43 years. Comorbidities included hypertension (55.0%), obstructive sleep apnea (46.4%), dyslipidemia (42.1%), diabetes (37.3%), osteoarthritis (36.4%) and cardiovascular disease with previous cardiac stents (5.3%). Furthermore, 38.3% of patients reported psychiatric diagnoses, such as depression and anxiety. The overall 30-day complication rate was 15.3%. The complication rate for minor complications was 13.4% and for major complications was 1.9% (2 leaks, 1 stricture and 1 fistula). Our results support the feasibility of safely performing LSG surgery at bariatric centres completing fewer than 125 procedures annually.Keywords
This publication has 16 references indexed in Scilit:
- Assessment of perioperative complications following primary bariatric surgery according to the Clavien–Dindo classification: comparison of sleeve gastrectomy and Roux-Y gastric bypassSurgical Endoscopy, 2015
- The Effectiveness and Risks of Bariatric Surgery An Updated Systematic Review and Meta-analysis, 2003-2012JAMA Surgery, 2014
- Early Results of the Swiss Multicentre Bypass or Sleeve Study (SM-BOSS)Annals of Surgery, 2013
- Laparoscopic Gastric Bypass Versus Laparoscopic Sleeve Gastrectomy as a Definitive Surgical Procedure for Morbid Obesity. Mid-Term ResultsObesity Surgery, 2012
- First Report from the American College of Surgeons Bariatric Surgery Center NetworkAnnals of Surgery, 2011
- Bariatric Surgery: A Systematic Review of the Clinical and Economic EvidenceJournal of General Internal Medicine, 2011
- A Review of Studies Comparing Three Laparoscopic Procedures in Bariatric Surgery: Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and Adjustable Gastric BandingObesity Surgery, 2011
- A Review of Laparoscopic Sleeve Gastrectomy for Morbid ObesityObesity Surgery, 2010
- The American College of Surgeons Bariatric Surgery Center Network: establishing standards.2007
- The ASBS Bariatric Surgery Centers of Excellence program: a blueprint for quality improvementSurgery for Obesity and Related Diseases, 2006