TU1.8 Laparoscopic partial gastrectomy as day-case surgery: Our 12-month experience

Abstract

Abstract Aim Procedures performed in ambulatory surgical centers (ASC) can provide several advantages over hospital-based surgery. We present our experience in same-day discharge after laparoscopic partial gastrectomy (LPG) in 19 consecutive patients during 2021. Our aim was to review our outcomes and assess the safety and efficacy of outpatient LPG over 12 months to determine if this procedure can be safely performed in the ambulatory setting. Methods Retrospective review of all consecutive patients who underwent ambulatory LPG from January 2021 to December 2021. Patient age, social circumstances, and other demographics were recorded as well as any comorbidities and ASA score. All patients were discharged home the same day after surgery without an overnight stay at the hospital. Incidence of complications and re-admission to the hospital after discharge were reviewed up to 30 days from surgery. Results From January 2021 to December 2021, 19 consecutive patients underwent LPG. The mean age was 47 years (range, 23–74 yr). 17 patients (89%) had gastric GIST tumor resected. Mean recovery room time was 131 minutes (30–385 min). No patients (0%) were readmitted within 30 days. There were no complications and no open conversions or deaths occurred in the series. Conclusion With stringent patient selection and utilization of enhanced recovery pathways, our study indicates that LPG may be suitable for the outpatient setting. Our low overall readmission and complication rate portends to the feasibility of laparoscopic PG as a safe outpatient procedure.