Laparoscopic Sleeve Gastrectomy under Regional Anesthesia: First Case Reported in Italy.

Abstract

Introduction: This case report presents the first documented instance in Italy of successful sleeve gastrectomy performed under spinal anesthesia, marking a significant milestone in the field of bariatric surgery.

Case presentation: Highlighting the innovative approach to anesthesia in the context of obesity treatment, this study explains the procedure and postoperative outcomes of a 46-year-old female patient with a BMI of 38 kg/m2, who had a history of moderate Obstructive Sleep Apnea Syndrome. Despite the complications associated with obese patients undergoing bariatric surgery, the use of regional anesthesia (RA) facilitated a favorable outcome, minimizing perioperative risks and enhancing postoperative recovery. The patient experienced no pain or respiratory complications, demonstrating the safety and feasibility of RA for sleeve gastrectomy, and underscoring its potential as a viable alternative to general anesthesia in bariatric surgery. In addition, the use of the Ramsey scale (score: 2) provided valuable insights into the patient's sedation level, contributing to the overall assessment of the anesthetic approach.

Conclusion: This case contributes to the growing evidence supporting the use of RA in laparoscopic surgeries, offering significant advantages in terms of patient safety, satisfaction, and recovery outcomes.