Fast-track Effectiveness in Abdominal Surgery (Literature Review)

Abstract

The study aimed to evaluate the literature on fast-track laparoscopic bariatric surgery (LRYGB and LAGB) to determine its feasibility and safety. Articles from PubMed, EMBASE, and Cochrane Library discussing next-day discharge for LRYGB and same-day discharge for LAGB were analyzed. The review included 13 studies with evidence levels of 3b or 4, comprising seven studies on LAGB, five on LRYGB, and one on both. The next-day discharge rate for LRYGB ranged from 81% to 100%, and the same-day discharge rate for LAGB ranged from 76% to 98%. Complication, readmission, and mortality rates were comparable to conventional care. The results indicate that fast-track management of LRYGB and LAGB is feasible with careful patient selection and preparation in high-volume centers, potentially offering cost benefits. However, further studies are needed to confirm the safety and cost-effectiveness of this approach outside specialized bariatric units.