Surgical resident training program to perform laparoscopic bariatric procedures : Are safety and postoperative outcomes compromised?
Copyright © 2020 AEC. Publicado por Elsevier España, S.L.U. All rights reserved..
INTRODUCTION: Laparoscopic bariatric procedures such as laparoscopic Roux-en-Y gastric bypass (LRYGB) are technically demanding and require a long learning curve. Little is known about whether surgical resident (SR) training programs to perform these procedures are safe and feasible. This study aims to evaluate the results of our SR training program to perform LRYGB.
METHODS: We designed a retrospective study including patients with LRYGB between January 2014 and December 2018, comparing SR results to experienced bariatric surgeons (EBS). In our country, SR have a five-year surgical formative period, and in the fourth year they are trained for 6 months in our bariatric surgery unit, from January to June. In the beginning, they perform different steps of this procedure, to finally complete an LRYGB. We collected demographic data, comorbidities, intraoperative outcomes, and postoperative complications and outcomes after a one-year follow-up.
RESULTS: Two hundred and eight patients were eligible for inclusion: 67 in group I (SR), and 141 in group II (EBS). Both groups were comparable. There was no statistically significant difference in operating time (166.45min in group I vs. 156.69min in group II; P=0.156). Conversion to open surgery, hospital stay, postoperative complications, and short-term outcomes had no significant differences between the two groups. There was no mortality registered during this period.
CONCLUSION: Implementation of LRYGB stepwise learning as part of an SR training program is safe, and results are comparable to EBS, without loss of efficiency. Therefore, it is feasible to train SR in bariatric surgery under EBS supervision.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:99 |
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| Enthalten in: |
Cirugia espanola - 99(2021), 3 vom: 09. März, Seite 200-207 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Realización de procedimientos bariátricos por residentes de cirugía general. ¿Compromete la efectividad de la intervención y los resultados postoperatorios? |
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| Beteiligte Personen: |
Sebastián-Tomás, Juan Carlos [VerfasserIn] |
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| Links: |
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| Themen: |
Bypass gástrico laparoscópico |
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| Anmerkungen: |
Date Completed 08.10.2021 Date Revised 08.10.2021 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1016/j.ciresp.2020.05.032 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM312701403 |
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| 100 | 1 | |a Sebastián-Tomás, Juan Carlos |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Surgical resident training program to perform laparoscopic bariatric procedures |b Are safety and postoperative outcomes compromised? |
| 246 | 3 | 3 | |a Realización de procedimientos bariátricos por residentes de cirugía general. ¿Compromete la efectividad de la intervención y los resultados postoperatorios? |
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| 500 | |a Date Revised 08.10.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Copyright © 2020 AEC. Publicado por Elsevier España, S.L.U. All rights reserved. | ||
| 520 | |a INTRODUCTION: Laparoscopic bariatric procedures such as laparoscopic Roux-en-Y gastric bypass (LRYGB) are technically demanding and require a long learning curve. Little is known about whether surgical resident (SR) training programs to perform these procedures are safe and feasible. This study aims to evaluate the results of our SR training program to perform LRYGB | ||
| 520 | |a METHODS: We designed a retrospective study including patients with LRYGB between January 2014 and December 2018, comparing SR results to experienced bariatric surgeons (EBS). In our country, SR have a five-year surgical formative period, and in the fourth year they are trained for 6 months in our bariatric surgery unit, from January to June. In the beginning, they perform different steps of this procedure, to finally complete an LRYGB. We collected demographic data, comorbidities, intraoperative outcomes, and postoperative complications and outcomes after a one-year follow-up | ||
| 520 | |a RESULTS: Two hundred and eight patients were eligible for inclusion: 67 in group I (SR), and 141 in group II (EBS). Both groups were comparable. There was no statistically significant difference in operating time (166.45min in group I vs. 156.69min in group II; P=0.156). Conversion to open surgery, hospital stay, postoperative complications, and short-term outcomes had no significant differences between the two groups. There was no mortality registered during this period | ||
| 520 | |a CONCLUSION: Implementation of LRYGB stepwise learning as part of an SR training program is safe, and results are comparable to EBS, without loss of efficiency. Therefore, it is feasible to train SR in bariatric surgery under EBS supervision | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Bypass gástrico laparoscópico | |
| 650 | 4 | |a Complicaciones | |
| 650 | 4 | |a Complications | |
| 650 | 4 | |a Curva de aprendizaje | |
| 650 | 4 | |a Formación | |
| 650 | 4 | |a Laparoscopic gastric bypass | |
| 650 | 4 | |a Learning curve | |
| 650 | 4 | |a Residentes | |
| 650 | 4 | |a Residents | |
| 650 | 4 | |a Training | |
| 700 | 1 | |a Navarro-Martínez, Sergio |e verfasserin |4 aut | |
| 700 | 1 | |a Peris-Tomás, Nuria |e verfasserin |4 aut | |
| 700 | 1 | |a Díez-Ares, José Ángel |e verfasserin |4 aut | |
| 700 | 1 | |a Gonzálvez-Guardiola, Paula |e verfasserin |4 aut | |
| 700 | 1 | |a Periañez-Gómez, Dolores |e verfasserin |4 aut | |
| 700 | 1 | |a Martínez-Mas, Ezequiel |e verfasserin |4 aut | |
| 700 | 1 | |a Trullenque-Juan, Ramón |e verfasserin |4 aut | |
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