ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
Influence of median surgeon operative duration on adverse outcomes in bariatric surgery.
Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Pooled it
- The impact of surgical simulation on patient outcomes: a systematic review and meta-analysis.Neurosurgical review · 2021Pooled it
- Systematic Review and Meta-analysis of Circular- and Linear-Stapled Gastro-jejunostomy in Laparoscopic Roux-en-Y Gastric Bypass.Obesity surgery · 2019Pooled it
- Association between Surgical Technical Skills and Clinical Outcomes: A Systematic Literature Review and Meta-Analysis.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Intraabdominal Pressure and Postoperative Discomfort in Laparoscopic Roux-en-Y Gastric Bypass (RYGB) Surgery: a Randomized Study.Obesity surgery · 2016Trial
- Predicting operative time in robotic ventral hernia repair using machine learning: a retrospective pilot study.Langenbeck's archives of surgery · 2026Article
- Predictors of Successful Long-Term Weight Loss Following Gastric Band Procedures.Obesity surgery · 2026Article
- Determinants of 28-day perioperative mortality and postoperative length of hospital stay among geriatric patients: a two-center prospective follow-up study in Ethiopia.BMC geriatrics · 2026Article
- Effect of preoperative liraglutide 3.0 mg on incidence of intraoperative adhesions in laparoscopic sleeve gastrectomy.Surgical endoscopy · 2024Article
- Spatial-temporal attention for video-based assessment of intraoperative surgical skill.Scientific reports · 2024Article
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- Is operation time over the benchmark value a risk factor for worse short-term outcomes after laparoscopic liver resection?Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024Article
- First Assistant In Bariatric Surgery: A Comparison Between Laparoscopic And Robotic Approaches: A 4-Year Analysis of the MBSAQIP Database (2016-2019).Obesity surgery · 2024Article
- Revisional bariatric surgery for gastroesophageal reflux disease: characterizing patient and procedural factors and 30-day outcomes for a retrospective cohort of 4412 patients.Surgical endoscopy · 2024Article
- A randomized trial to compare smooth monofilament suture vs. barbed suture using the three-layer continuous closure technique in canine ovariohysterectomy in a high-quality high-volume spay/neuter clinic.Frontiers in veterinary science · 2024Article
- Thromboembolic Complications after Bariatric and Metabolic Surgery: A Single-Center Experience, Two Case Reports and a Literature Review.Acta medica Lituanic · 2024Article
- Increased operative time has a negative impact on clinical outcome in arthroscopic rotator cuff repair.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Gastric Bypass Mortality Trends in Racial Cohorts: Are We Improving?Obesity surgery · 2023Article
- Article
- Safety and Efficacy of Trocar Port-Site Closure Using a Biological Plug Closure in Laparoscopic Bariatric Surgery: a Prospective Study.Obesity surgery · 2022Review
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Abstract
backgroundEvidence suggests that prolonged operative time adversely affects surgical outcomes. However, whether faster surgeons have better outcomes is unclear, as a surgeon׳s speed could reflect skill and efficiency, but may alternatively reflect haste. This study evaluates whether median surgeon operative time is associated with adverse surgical outcomes after laparoscopic Roux-en-Y gastric bypass.
methodsWe performed a retrospective cohort study using statewide clinical registry data from the years 2006 to 2012. Surgeons were ranked by their median operative time and grouped into terciles. Multivariable logistic regression with robust standard errors was used to evaluate the influence of median surgeon operative time on 30-day surgical outcomes, adjusting for patient and surgeon characteristics, trainee involvement, concurrent procedures, and the complex interaction between these variables.
resultsA total of 16,344 patients underwent surgery during the study period. Compared to surgeons in the fastest tercile, slow surgeons required 53 additional minutes to complete a gastric bypass procedure (median [interquartile range] 139 [133-150] versus 86 [69-91], P<.001). After adjustment for patient characteristic only, slow surgeons had significantly higher adjusted rates of any complication, prolonged length of stay, emergency department visits or readmissions, and venous thromboembolism (VTE). After further adjustment for surgeon characteristics, resident involvement, and the interaction between these variables, slow surgeons had higher rates of any complication (10.5% versus 7.1%, P=.039), prolonged length of stay (14.0% versus 4.4%, P=.002), and VTE (0.39% versus .22%, P<.001).
conclusionMedian surgeon operative duration is independently associated with adjusted rates of certain adverse outcomes after laparoscopic Roux-en-Y gastric bypass. Improving surgeon efficiency while operating may reduce operative time and improve the safety of bariatric surgery.
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