A New and Simplified Technique for Laparoscopic Gastric Bypass in a Residency Training Program

Abstract

Introduction of S-LGB has resulted in excellent outcomes and significant reductions in resource utilization while enhancing opportunities for resident teaching and full participation.

Bariatric Surgery and the Changing Current Scope of General Surgery Practice

“…Specifically, laparoscopic RYGB provides the key components to develop important advanced laparoscopic techniques, which include gastric resection and pouch creation, jejunojejunostomy, and gastrojejunostomy, provide varying aspects of laparoscopic tissue mobilization, stapling, and suturing anastomoses. 13,14,17 In our review, laparoscopic RYGB was uniformly one of the most commonly performed procedures among academic centers and would provide the perfect platform for surgical resident training in advance laparoscopic techniques.…”

Current Techniques of Teaching and Learning in Bariatric Surgical Procedures: A Systematic Review

“…5 Martin et al found an overall decrease of early complications from 15 to 5% and a significant decrease in anastomotic strictures using a simplified technique. 28 Fanous et al reported increased rates of acute renal failure from 0% to 0.82% (p=0.047). 6 This study found a non-significant effect on excess weight loss (64% vs. 66%).…”

“…The average difference in operation time is a decrease of 9.6 minutes (range -93 to +40 minutes). After exclusion of studies that showed decreased operating room (OR) times due to simplification of the operative procedure 28 , or severe inclusion bias 24 , OR time was increased by 29.3 minutes (range +13 to +40 minutes).…”

“…A survey between the surgeons and residents showed the new technique to be faster and simpler, and easier to teach. 28…”

Simulation-based training and learning curves in laparoscopic Roux-en-Y gastric bypass

“…The difficulty with training surgical residents in LRYGBP arises from the requirement for advanced laparoscopic skills39. Naturally, proficiency in these skills is often achieved only by the trainee's senior or chief year.…”