Establishing Laparoscopic Roux-en-Y Gastric Bypass: Perioperative Outcome and Characteristics of the Learning Curve

Søvik, Torgeir T.; Aasheim, Erlend T.; Kristinsson, Jon; Schou, Carl Fredrik; Diep, Lien My; Nesbakken, Arild; Mala, Tom

doi:10.1007/s11695-008-9584-x

Cited by 50 publications

(37 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We have shown that both operative time and postoperative hospital stay decrease with increasing experience. Similar effects of the learning curve have been reported earlier (13,14). Although our major complication rates are similar to those of other published series (4, 5, 13, 17), their number diminished after the first third of the operations, showing the effect of the learning curve.…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

Perioperative Morbidity, Mortality and Early Outcome of the First 360 Gastric Bypass Operations Performed in a District Hospital

2012

View full text Add to dashboard Cite

Background and Aims: We report the results for the first consecutive 360 roux-en-y gastric bypass (rygb) operations performed in a district hospital in finland.Material and Methods: demographic data, perioperative characteristics, and follow-up data were entered prospectively in the hospital's database for bariatric patients.Results: We performed 325 primary laparoscopic roux-en-y gastric bypass (lrygb) operations, one open rygb, and 34 revisions. mean bmi before the operations was 47.5 ± 7.8 kg/m 2 (31.5-91.0 kg/m 2 ). the percentage of patients with type 2 diabetes mellitus (t2dm) was high; 52.3% (170 patients). the mean operative time decreased from 110 minutes during the first 108 operations to 82 minutes for the second 108 operations, and to 74 minutes for the last 109 operations (P < 0.001). Postoperative hospital stay was significantly reduced (P < 0.001) for the last 109 patients compared to the first and second group of patients. overall morbidity averaged 19.1% (62/325). severe complications were detected in 15 patients (4.6%). there was a tendency to more serious complications in the first group of patients. there was one death (mortality 0.3%). With a follow-up rate of 97% at 3 months t2dm had resolved in 48.2%, and had resolved or improved in a minimum of 92.9% of the diabetic patients. Weight loss (Wl) and excess weight loss (eWl) averaged 20% and 46% respectively.Conclusions: operative time and postoperative hospital stay decrease significantly with increasing experience. the first one hundred patients may be at higher risk for complications. lrygb operations may have an important impact on the resolution of t2dm in the operated population.

show abstract

Section: Discussionsupporting

confidence: 92%

“…The impact of the learning curve on the primary outcome of LRYGB has been reported by different authors (12)(13)(14)(15). Many of these reports come from larger academic institutions, and there is no previous data available from Finland.…”

Section: Introductionmentioning

confidence: 99%

Perioperative Morbidity, Mortality and Early Outcome of the First 360 Gastric Bypass Operations Performed in a District Hospital

2012

View full text Add to dashboard Cite

show abstract

“…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]. Overall, the challenge posed by having potentially higher risk patients referred for surgery may be considerable at the beginning of a unit's experience.…”

Section: Discussionmentioning

confidence: 86%

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

et al. 2009

View full text Add to dashboard Cite

show abstract

“…Ved Oslo universitetssykehus, Aker er det de siste to årene utført ca. 250 slike inngrep år-lig, hvorav de fleste er laparoskopisk gastrisk bypass (17,18). I denne studien evaluerte vi forekomsten av type 2-diabetes og metabolsk syndrom hos pasienter med sykelig fedme før og etter gastrisk bypass.…”

Section: Sammendragunclassified

Type 2-diabetes og metabolsk syndrom før og etter gastrisk bypass

Søvik¹,

Irandoust²,

Birkeland³

et al. 2010

Tidsskriftet

Self Cite

View full text Add to dashboard Cite

Establishing Laparoscopic Roux-en-Y Gastric Bypass: Perioperative Outcome and Characteristics of the Learning Curve

Abstract: LRYGB was introduced with an acceptable morbidity rate and no mortality. Only the length of surgery and postoperative hospital stay were suitable indicators of a learning curve, which comprised about 100 cases.

Cited by 50 publications

References 18 publications

Perioperative Morbidity, Mortality and Early Outcome of the First 360 Gastric Bypass Operations Performed in a District Hospital

Perioperative Morbidity, Mortality and Early Outcome of the First 360 Gastric Bypass Operations Performed in a District Hospital

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

Type 2-diabetes og metabolsk syndrom før og etter gastrisk bypass

Contact Info

Product

Resources

About