How to Train Surgical Residents to Perform Laparoscopic Roux-en-Y Gastric Bypass Safely
World Journal of Surgery, 05/17/2012Iordens GIT et al.
The data suggest that under stringent supervision and with sufficient laparoscopic practice, implementation of LRYGB as part of surgical training is safe and results in only a slightly longer operating time. Complication rates, days of hospitalization, and the rates of readmission and reappearance in the ED within 30 days were similar between the both groups.
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. 116 min in group II; p < 0.001) and days of hospitalization.
Postoperative complication rate, reappearance in the ED, and rate of readmission did not differ between the two groups.
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