Evidence map›Paper›PMID 40268784›Full record

ArticleSurgical endoscopy2025

Outcomes of laparoscopic sleeve gastrectomy performed by senior surgical residents as compared to bariatric surgeons.

Mohammad Mostafa, Raneem Bader, George Asfour, Ashraf Imam, Rafael Miller, Shimon Sapojnikov, Barak-Bar Zakai, Harbi Khalayleh

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mohammad Mostafa *Department of Surgery, Kaplan Medical Center, Rehovot and the Hebrew University Medical School, Jerusalem, Israel.
Raneem Bader *Department of Surgery, Faculty of Health and Science, Samson Assuta Ashdod University Hospital, Ben-Gurion University, Beersheba, Israel.ORCID http://orcid.org/0000-0002-6256-5176
George Asfour *Department of Surgery, Kaplan Medical Center, Rehovot and the Hebrew University Medical School, Jerusalem, Israel.ORCID http://orcid.org/0000-0001-7220-0827
Ashraf Imam *The Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.ORCID http://orcid.org/0000-0003-0172-3844
Rafael MillerDepartment of Surgery, Kaplan Medical Center, Rehovot and the Hebrew University Medical School, Jerusalem, Israel.ORCID http://orcid.org/0000-0002-3406-8375
Shimon SapojnikovDepartment of Surgery, Rabin Medical Center and Tel Aviv University Sackler Medical School, Tel Aviv, Israel.
Barak-Bar ZakaiDepartment of Surgery, Kaplan Medical Center, Rehovot and the Hebrew University Medical School, Jerusalem, Israel.ORCID http://orcid.org/0000-0003-2210-5105
Harbi KhalaylehDepartment of Surgery, Kaplan Medical Center, Rehovot and the Hebrew University Medical School, Jerusalem, Israel. harbikh@clalit.org.il.ORCID http://orcid.org/0000-0002-6706-3837

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited data are available on the safety and outcomes of LSG performed by senior surgical residents (SSR). This study aimed to compare the outcomes of laparoscopic sleeve gastrectomy (LSG) performed by SSR under the supervision of a senior bariatric surgeon (SBS) with those performed solely by SBS.

methodsWe retrospectively analyzed patients who underwent LSG. Patients were divided into two groups: Consultant group surgery performed using SBS. Supervised resident group comprised surgeries performed by SSR under the supervision of SBS. Data collected included demographics, body mass index (BMI), excessive body weight loss (EBWL), complications, and follow-up results.

resultsOf the 480 patients, 350 (72.9%) underwent surgery by SBS (Consultant Group), and 130 (27.1%) by SSR with supervision (Supervised resident Group). Operative times were longer in supervised resident group (104.13 min) than in consultant group (82.63 min, P < 0.001). Early complications occurred in 3.1% of the cases, with no significant difference between the groups. Postoperative BMI and EBWL showed slightly better short-term results in supervised resident group, although differences diminished in the long term. DISCUSSION: LSG performed using SSR under the supervision of SBS is safe and effective. While operative times were longer for residents, short-term outcomes were comparable and there were no adverse effects on long-term results. These findings support the integration of LSG training into surgical residency programs.

conclusionLSG can be safely performed using SSR with appropriate supervision, with no detrimental impact on the outcomes. This highlights the feasibility of involving residents in LSG while maintaining a high standard of care.

Indexed as

Bariatric SurgeryClinical CompetenceGastrectomyInternship and ResidencyLaparoscopyObesity, MorbidAdultBody Mass IndexFemaleHumansMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTreatment OutcomeLaparoscopic sleeve gastrectomyObesityResidenceTraining

Identifiers

PMID40268784

What OpenQuestion holds

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Registered trials

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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.