ArticleObesity surgery2009
Establishing laparoscopic Roux-en-Y gastric bypass: perioperative outcome and characteristics of the learning curve.
Article in Obesity surgery, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Learning Curves of Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in Bariatric Surgery: a Systematic Review and Introduction of a Standardization.Obesity surgery · 2020Pooled it
- Training programs influence in the learning curve of laparoscopic gastric bypass for morbid obesity: a systematic review.Obesity surgery · 2012Pooled it
- Ten-Year Outcomes Following Roux-en-Y Gastric Bypass vs Duodenal Switch for High Body Mass Index: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Obesity Surgery Mortality Risk Score as a Predictor for Intensive Care Unit Admission in Patients Undergoing Laparoscopic Bariatric Surgery.Journal of clinical medicine · 2024Article
- The influence of summer closure on serious postoperative complications in bariatric surgery.Langenbeck's archives of surgery · 2022Article
- INFLUENCE OF MINIMALLY INVASIVE LAPAROSCOPIC EXPERIENCE SKILLS ON ROBOTIC SURGERY DEXTERITY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022Article
- Health benefits and risks during 10 years after Roux-en-Y gastric bypass.Surgical endoscopy · 2020Article
- Does the Implementation of Enhanced Recovery After Surgery (ERAS) Guidelines Improve Outcomes of Bariatric Surgery? A Propensity Score Analysis in 464 Patients.Obesity surgery · 2019Article
- [Barriers to the German Society for General and Visceral Surgery (DGAV) accreditation "Center for bariatric and metabolic surgery"].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018Article
- Factors Predicting Length of Stay Following Bariatric Surgery: Retrospective Review of a Single UK Tertiary Centre Experience.Obesity surgery · 2018Article
- Validation of the NASA-TLX Score in Ongoing Assessment of Mental Workload During a Laparoscopic Learning Curve in Bariatric Surgery.Obesity surgery · 2015Article
- Vitamin concentrations 5 years after gastric bypass.European journal of clinical nutrition · 2015Article
- The Preceding Surgeon Factor in Bariatric Surgery: a Positive Influence on the Learning Curve of Subsequent Surgeons.Obesity surgery · 2015Article
- Bariatric surgery: To bypass or switch? That is the question in obesity surgery.Nature reviews. Gastroenterology & hepatology · 2015Article
- Fast-track bariatric surgery improves perioperative care and logistics compared to conventional care.Obesity surgery · 2015Article
- Fast-track laparoscopic gastric bypass surgery: outcomes and lessons from a bariatric surgery service in the United Kingdom.Obesity surgery · 2012Article
- Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the treatment of morbid obesity. A prospective study of 117 patients.Obesity surgery · 2011Article
- Diagnostic medical radiation dose in patients after laparoscopic bariatric surgery.Obesity surgery · 2010Article
- Three hundred laparoscopic Roux-en-Y gastric bypasses: managing the learning curve in higher risk patients.Obesity surgery · 2010Article
- Bariatric surgery among kidney transplant candidates and recipients: analysis of the United States renal data system and literature review.Transplantation · 2009Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBariatric surgery was established at several Norwegian hospitals in 2004. This study evaluates the perioperative outcome and the learning curves for two surgeons while introducing laparoscopic Roux-en-Y gastric bypass (LRYGB).
methodsMorbidly obese patients undergoing primary LRYGB were included. Lengths of surgery and postoperative hospital stay, and 30-day rates of morbidity, reoperations, and readmissions were set as indicators of the learning curve. Learning effects were evaluated by graphical analyses and comparing the first and last 40 procedures for both surgeons.
resultsThe 292 included patients had a mean age of 40.0 +/- 9.5 years and a mean body mass index (BMI) of 46.7 +/- 5.3 kg/m(2). The mean length of surgery was 101 +/- 55 min. Complications occurred in 43 patients (14.7%), with no conversions to open surgery in the primary procedure and no mortality. Reoperations were performed in 14 patients (4.8%), of which five patients required open surgery. The median length of stay was 3 days (range 1-77), and 19 patients (6.5%) were readmitted. High patient age, but not high BMI, was associated with an increased risk of complication. For both surgeons, lengths of surgery and hospital stay were significantly reduced (p < 0.001), leveling out after 100 procedures. Reductions in the rates of morbidity, reoperations and readmissions were not found.
conclusionLRYGB was introduced with an acceptable morbidity rate and no mortality. Only the length of surgery and postoperative hospital stay were suitable indicators of a learning curve, which comprised about 100 cases.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.