A Two-Consultant Approach is a Safe and Efficient Strategy to Adopt during the Learning Curve for Laparoscopic Roux-en-Y Gastric Bypass: Our Results in the First 100 Procedures

Hilal, Mohammed Abu; Bossche, Marc Vanden; Bailey, Ian; Harb, Ayad; Sutherland, R. L.; Sansome, A. J.; Byrne, James P.

doi:10.1007/s11695-007-9137-8

Cited by 16 publications

(13 citation statements)

References 15 publications

(9 reference statements)

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“…The results of our systematic review show that the mentoring program with an experienced bariatric surgeon significantly reduces the complication rate in the first cases of a new bariatric surgeon, being on a level with those of the experienced groups [32,34]. The same conclusion is derived from the work to assess the impact of bariatric surgery fellowship that takes place in the USA [6,19,20,35].…”

Section: Discussionsupporting

confidence: 59%

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Training Programs Influence in the Learning Curve of Laparoscopic Gastric Bypass for Morbid Obesity: A Systematic Review

et al. 2011

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The makeup of a new surgical bariatric team may be associated with a higher number of postoperative complications due to the learning curve. The aim of this study was to evaluate the outcomes during the learning curve of laparoscopic gastric bypass (LGBP) depending on surgeons' training. A systematic approach was used to review studies from the Pubmed, Embase (Ovid), Cancer Lit, Biomes Central via Scirus, Current Contens (ISI), and Web of Science (SCI) databases. Two reviewers independently screened all titles/abstracts and included/excluded studies based on full copies of manuscripts. The outcomes included were: specific training of the surgeon, postoperative complications (leaks, occlusion, hemorrhage, pneumonia, etc.), mortality, and surgical technique. One reviewer put data onto an Excel spreadsheet. Statistical analysis was performed with weighted linear regression. We identified 448 citations, of which 120 abstract and 50 full-text publications were reviewed. Fourteen papers were selected. Data from 1,848 patients were included. Eighteen different surgeons were analyzed during their learning curve (including the first author of this study). Surgeons were divided into two groups: (1) without formal laparoscopic bariatric training (13 surgeons) and (2) with formal laparoscopic bariatric training (five surgeons). Postoperative complications were more frequent in group 1: 18.1% (± 7.6) vs. 7.7% (± 1.96, p = 0.046); also, mortality was more frequent in group 1: 0.57% (± 0.87) vs. 0% (p = 0.05). An appropriated training in laparoscopic bariatric surgery contributes to a significant reduction in postoperative complications and mortality during the learning curve of LGBP.

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Section: Discussionsupporting

confidence: 59%

“…Abu-hilal et al [34] 2007 100 0 10 Sanchez-Santos et al [40] 2009 109 0 9.1 Oliak-2 et al [35] 2004 75 0 8 Hsu-3 et al [6] 2005 88 0 6.8 Hsu-2 et al [6] 2005 100 0 5 Table 3 Morbidity and mortality…”

Section: Discussionmentioning

confidence: 99%

Training Programs Influence in the Learning Curve of Laparoscopic Gastric Bypass for Morbid Obesity: A Systematic Review

et al. 2011

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“…Advanced laparoscopic or bariatric fellowships [17], intensive courses and a step-by-step approach [19] and a two-consultant technique have been previously suggested [9]. Our preceptorship program appears to have been effective and compares to similar experience from North America, Europe [13,20], South America [21] and Asia [22].…”

Section: Discussionmentioning

confidence: 80%

“…In addition, data from the UK are limited [9]. We report the effects of the learning curve in a new regional bariatric centre in the southwest of England.…”

Section: Introductionmentioning

confidence: 99%

Three Hundred Laparoscopic Roux-en-Y Gastric Bypasses: Managing the Learning Curve in Higher Risk Patients

et al. 2009

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“…A two-consultant approach was adopted due to its safety and efficiency during the learning curve as reported by others [13].…”

Section: Methodsmentioning

confidence: 99%

Preoperative Transabdominal Ultrasonography (US) Prior to Laparoscopic Roux-en-Y Gastric Bypass (LRYGBP) and Laparoscopic Sleeve Gastrectomy (LSG) in the First 100 Operations. Was It Beneficial and Reliable During the Learning Curve?

et al. 2011

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A Two-Consultant Approach is a Safe and Efficient Strategy to Adopt during the Learning Curve for Laparoscopic Roux-en-Y Gastric Bypass: Our Results in the First 100 Procedures

Cited by 16 publications

References 15 publications

Training Programs Influence in the Learning Curve of Laparoscopic Gastric Bypass for Morbid Obesity: A Systematic Review

Training Programs Influence in the Learning Curve of Laparoscopic Gastric Bypass for Morbid Obesity: A Systematic Review

Three Hundred Laparoscopic Roux-en-Y Gastric Bypasses: Managing the Learning Curve in Higher Risk Patients

Preoperative Transabdominal Ultrasonography (US) Prior to Laparoscopic Roux-en-Y Gastric Bypass (LRYGBP) and Laparoscopic Sleeve Gastrectomy (LSG) in the First 100 Operations. Was It Beneficial and Reliable During the Learning Curve?

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