ArticleWorld journal of surgery2012
How to train surgical residents to perform laparoscopic Roux-en-Y gastric bypass safely.
Article in World journal of surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 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
- Surgical trainee impact on bariatric surgery safety.Surgical endoscopy · 2019Article
- A Stepwise Approach in Learning Surgical Residents a Roux-en-Y Gastric Bypass.Obesity surgery · 2019Article
- Can a laparoscopic Roux-en-Y gastric bypass be safely performed by surgical residents in a bariatric center-of-excellence? The learning curve of surgical residents in bariatric surgery.Surgical endoscopy · 2018Article
- Resident Training in Bariatric Surgery-A National Survey in the Netherlands.Obesity surgery · 2017Article
- Learning curve for laparoscopic sleeve gastrectomy: role of training in a high-volume bariatric center.Surgical endoscopy · 2016Article
- Resident participation in laparoscopic Roux-en-Y gastric bypass: a comparison of outcomes from the ACS-NSQIP database.Surgical endoscopy · 2016Article
- The Preceding Surgeon Factor in Bariatric Surgery: a Positive Influence on the Learning Curve of Subsequent Surgeons.Obesity surgery · 2015Article
- Laparoscopic bariatric surgery training program model: gastric bypass.BMC surgery · 2014Article
- Multifactorial analysis of the learning curve for totally robotic Roux-en-Y gastric bypass for morbid obesity.Obesity surgery · 2013Article
- Influence of median surgeon operative duration on adverse outcomes in bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric SurgeryArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs a result of increasing numbers of patients with morbid obesity there is a worldwide demand for bariatric surgeons. The Roux-en-Y gastric bypass, nowadays performed mostly laparoscopically (LRYGB), has been proven to be a highly effective surgical treatment for morbid obesity. This procedure is technically demanding and requires a long learning curve. Little is known about implementing these demanding techniques in the training of the surgical resident. The aim of this study was to evaluate the safety and feasibility of the introduction of LRYGB into the training of surgical residents.
methodsAll patients who underwent LRYGB between March 2006 and July 2010 were retrospectively analyzed. The procedure was performed by a surgical resident under strict supervision of a bariatric surgeon (group I) or by a bariatric surgeon (group II). The primary end point was the occurrence of complications. Secondary end points included operative time, days of hospitalization, rate of readmission, and reappearance in the emergency department (ED) within 30 days.
resultsA total of 409 patients were found eligible for inclusion in the study: 83 patients in group I and 326 in group II. There was a significant difference in operating time (129 min in group I vs. 116 min in group II; p < 0.001) and days of hospitalization. Postoperative complication rate, reappearance in the ED, and rate of readmission did not differ between the two groups.
conclusionsOur data suggest that under stringent supervision and with sufficient laparoscopic practice, implementation of LRYGB as part of surgical training is safe and results in only a slightly longer operating time. Complication rates, days of hospitalization, and the rates of readmission and reappearance in the ED within 30 days were similar between the both groups. These results should be interpreted by remembering that all procedures in group I were performed in a training environment so occasional intervention by a bariatric surgeon, when necessary, was inevitable.
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