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First page of Laparoscopic sleeve gastrectomy under regional anesthesia. First case reported in Italy

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 facilitated a favorable outcome, minimizing peri-operative 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 regional anesthesia in laparoscopic surgeries, offering significant advantages in terms of patient safety, satisfaction, and recovery outcomes.

Journal Section:
Case Report
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2025
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