ArticleObesity surgery2010
Three hundred laparoscopic Roux-en-Y gastric bypasses: managing the learning curve in higher risk patients.
Article in Obesity surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- 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
- Failure of the Obesity Surgery Mortality Risk Score (OS-MRS) to Predict Postoperative Complications After Bariatric Surgery. A Single-Center Series and Systematic Review.Obesity surgery · 2017Pooled it
- Systematic review of obesity surgery mortality risk score--preoperative risk stratification in bariatric surgery.Obesity surgery · 2012Pooled it
- Training programs influence in the learning curve of laparoscopic gastric bypass for morbid obesity: a systematic review.Obesity surgery · 2012Pooled it
- Short-term and mid-term control of type 2 diabetes mellitus by laparoscopic sleeve gastrectomy with ileal interposition.World journal of surgery · 2011Trial
- The Impact of Metabolic and Bariatric Surgeon Status on Outcomes After Bariatric Surgery: a Retrospective Cohort Study Using the MBSAQIP Database.Obesity surgery · 2022Article
- Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update.World journal of surgery · 2022Review
- Effect of Preoperative Weight Loss and Baseline Comorbidity on Short-Term Complications and Reoperations After Laparoscopic Roux-en-Y Gastric Bypass in 2,067 Patients.Obesity surgery · 2021Article
- Laparoscopic versus full robotic Roux-en-Y gastric bypass: retrospective, single-center study of the feasibility and short-term results.Journal of robotic surgery · 2020Article
- A Stepwise Approach in Learning Surgical Residents a Roux-en-Y Gastric Bypass.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
- Bariatric fellowship positively influences early outcomes for laparoscopic Roux-en-Y gastric bypass surgery over seven years of independent practice.Annals of the Royal College of Surgeons of England · 2018Article
- Staple line integrity test in sleeve gastrectomy.Annals of the Royal College of Surgeons of England · 2017Article
- Predictors of Inadequate Weight Loss After Laparoscopic Gastric Bypass for Morbid Obesity.Obesity surgery · 2017Article
- Laparoscopic Roux en-Y Gastric Bypass Using a Modified Retrocolic-Supracolic Approach: Outcomes from 300 Patients.World journal of surgery · 2016Article
- Validation of the NASA-TLX Score in Ongoing Assessment of Mental Workload During a Laparoscopic Learning Curve in Bariatric Surgery.Obesity surgery · 2015Article
- Outcomes of linear-stapled versus hand-sewn gastrojejunal anastomosis in laparoscopic Roux en-Y gastric bypass.Surgical endoscopy · 2015Article
- How to train surgical residents to perform laparoscopic Roux-en-Y gastric bypass safely.World journal of surgery · 2012Article
- The role of bile after Roux-en-Y gastric bypass in promoting weight loss and improving glycaemic control.Endocrinology · 2012 · on this mapArticle
- Ileal interposition with sleeve gastrectomy for treatment of type 2 diabetes mellitus.Indian journal of endocrinology and metabolism · 2012Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBariatric surgery is expanding and the increasing workload needs to be undertaken safely in new surgical centres with no previous bariatric experience. The laparoscopic Roux-en-Y gastric bypass (LRYGB) has a steep learning curve with documented high risk. We present the results for the first 300 cases of LRYGB in a new centre.
methodsThree hundred consecutive patients underwent LRYGB performed by a single surgeon. Four external surgeons mentored eight cases in the first 50. Demographic characteristics, body mass index (BMI) and operative time were collected prospectively and the Obesity Surgery Mortality Risk Score was used for risk stratification.
resultsThe mean BMI of the patients increased during the series from 49.0 for the first group to 50.2 for the second group and to 51.0 for the third group (p < 0.05). The number of high-risk patients measured with the OS-MRS was 19/300 (6.3%) in the whole series. The mean operative time decreased from 163 min for the first 100 patients to 119 min for the second 100 and 94 for the third (p < 0.0001). In the first group, there were nine reoperations and two conversions to open surgery, compared to two reoperations and one conversion in the second group (p < 0.05). In the whole series, there were 12 early complications requiring re-operation, four conversions to open surgery and one mortality (patient 110, heart failure within 24 h).
conclusionsA mentoring process ensures that LRYGB can be done safely in a newly established bariatric centre. The operative time reduces markedly after the learning curve.
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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.