Laparoscopic sleeve gastrectomy for mildly obese patients (body mass index of 30 <35 kg/m2): Operative outcome and short-term results

Background. data concerning laparoscopic sleeve gastrectomy (lsg) in mild obesity are under investigation. aim/objective. may 2010 to may 2012,122 consecutive patients with preoperative body mass index (bmi) of 33 ± 2.5 kg/m2 (range 30-34.9) undergoing lsg were studied. mean age was 33 ± 10 years (range 15-60),and 105 (86%) were women. mean preoperative weight was 91 ± 9.7 kg (range 66-121),and preoperative excess weight was 30 ± 6.7 kg (range 19-43). comorbidities were detected in 44 (36%) patients. results. mean operative time was 58 ± 15 min (range 40-95),and postoperative stay was 1.8 ± 0.19 days (range 1.5-3). there were no admissions to intensive care unit and no deaths within 30 days of surgery. the rates of leaks and strictures were 0%,and of hemorrhage 1.6%. at 12 months,bmi decreased to 24.7 ± 2,and the percentage of excess weight loss (% ewl) reached 76.5%. none of the patients had a bmi below 20 kg/m2. comorbidities resolved in 70.5% or improved in 29.5%. patient satisfaction scoring (1-5) at least 1 year after was 4.6 ± 0.8 for body image and 4.4 ± 0.6 for food tolerance. conclusion. lsg for mildly obese patients has proved to be technically relatively easy,safe,and benefic in the short term. © 2012 roger noun et al.