الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Day-case surgery (DCS) (also known as ambulatory surgery, outpatient surgery, same-day surgery, or day surgery) does not require an overnight hospital stay. This affords patients the opportunity to receive post surgical care in a nonhospital setting (Rebibo et al, 2014). DCS is distinct from overnight-stay surgery, in which the patient is discharged to home the day after the operation (i.e., after a night as an inpatient). The use of DCS reduces hospital costs and enables staff to devote more time to hospitalized patients requiring more demanding care (Lemos, Jarrett & Philip, 2006). In 2010, DCS was designated as a national healthcare priority in France. In the field of gastrointestinal surgery, DCS has been validated primarily for inguinal hernia repair, cholecystectomy, and the treatment of gastroesophageal reflux disease (Mariette et al, 2011). In terms of bariatric procedures, laparoscopic adjustable gastric banding (LAGB) usually is performed in a day-case setting (Rebibo et al, 2014). LSG has become very popular. It is a relatively short, simple procedure, with a mean operating time of 100 minutes. The major complications are gastric leak and hemorrhage along the gastric staple line. Gastric leak is not found in this study. Hemorrhage along the staple line occurs in 2% of cases (Lalor et al, 2008). Overall, LSG is a reproducible, codified procedure with a short operating time and a low postoperative complication rate; therefore, it meets the criteria for implementation as DCS. Given the popularity of SG with patients (with an average hospital stay of 3 days), it was assumed that DCS would not increase the patient’s level of risk as long as the patient was selected appropriately and keen to undergo this type of surgery. Hence, the objective of the present study was to determine the feasibility and outcomes of day-case SG as a treatment for morbid obesity (Rebibo et al, 2014). In view of the thesis results, performing Laparoscopic Sleeve Gastrectomy as a treatment for patients with morbid obesity as a Day-Case surgery is feasible as long as patients were correctly selected, not associated with elevated morbidity and mortality rates compared with conventional management. Patient satisfaction was high, 96%. But, due to the limited number of cases, additional studies are needed to formulate selection criteria and guidelines to maximize patient safety and outcomes.