How to train surgical residents to perform laparoscopic Roux-en-Y gastric bypass safely.

World Journal of Surgery
Gijs I T IordensErwin van der Harst

Abstract

As 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. All 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. A 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...Continue Reading

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Citations

Dec 4, 2014·BMC Surgery·Fabio R ThulerCarlos Alberto Malheiros
Dec 5, 2013·Advances in Surgery·Usama Ahmed Ali, Jon D Vogel
Dec 3, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Antonio J Torres
Jul 30, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Bradley N ReamesJonathan F Finks
Oct 7, 2018·Obesity Surgery·A B WalingaG H E J Vijgen
Jun 1, 2017·Obesity Surgery·Gabrielle H van RamshorstBart A van Wagensveld
Nov 15, 2018·Surgical Endoscopy·Iliya GoldbergKonstantinos Spaniolas

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