Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity: Results of our Learning Curve in 100 Consecutive Patients

Stoopen-Margain, Enrique; Fajardo, Rafael; España, Nayví; Gamino, Rosa; Gonzalez‐Barranco, Jorge; Herrera, Miguel F.

doi:10.1381/096089204322857564

Cited by 28 publications

(14 citation statements)

References 15 publications

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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]. 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: 85%

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

et al. 2009

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Section: Discussionmentioning

confidence: 85%

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

et al. 2009

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“…This program started in 2009; surgeons previously underwent very diverse ways of training before starting their bariatric cases (Tables 3 and 4). [44] 2007 107 0 13 Stoopen-margain et al [23] 2004 100 2 10 Lublin et al [9] 2005 100 0 8 Group 2…”

Section: Discussionmentioning

confidence: 99%

“…The rapid assimilation of laparoscopy in bariatric surgery has resulted in a higher incidence of complications, especially early in a surgeon's learning curve [9,[21][22][23][24][25].…”

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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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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“…A mortalidade total chega a 2% e tem como causa principal o TEP 17,18 . A trombose venosa profunda (TVP) e o TEP ocorrem em cerca de 2% a 4% de pacientes submetidos a bypass gástrico em Y de Roux [18][19][20] , com mortalidade de 25% a 67% em pacientes que desenvolvem embolia pulmonar 17,18,21 . Gonzáles e col. 22 , em estudo prospectivo realizado com 660 pacientes, a profi laxia pode ser realizada com compressão mecânica intermitente no intra-operatório e com heparina de baixo peso molecular de acordo com o IMC.…”

Section: Tromboseunclassified

Cuidados intensivos para pacientes em pós-operatório de cirurgia bariátrica

Sanches¹,

Gazoni²,

Konishi³

et al. 2007

Rev. bras. ter. intensiva

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RESUMO JUSTIFICATIVA E OBJETIVOS:A obesidade é considerada uma epidemia e afeta mais de 300 milhões de pessoas no mundo. A sua prevalência vem aumentando signifi cativamente nos últimos anos e a mortalidade do paciente obeso crítico, em alguns estudos, mostrase maior, especialmente em pacientes cirúrgicos que necessitam de UTI. Este estudo teve como objetivo ressaltar as particularidades das condutas em Medicina Intensiva no pós-operatório do paciente obeso submetido à cirurgia bariátrica. CONTEÚDO: A taxa dos pacientes obesos na UTI é de 9% a 26% e o aumento no número de cirurgias bariá-tricas tem elevado o fl uxo de obesos internados em UTI. A obesidade tem várias particularidades fi siopatológicas que devem ser conhecidas para melhor manuseio pós-operatório. Entre elas estão as restrições pulmonares, que leva ao aumento do número de com-

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Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity: Results of our Learning Curve in 100 Consecutive Patients

Abstract: LRYGBP is a reproducible technique. It requires the combination of bariatric and laparoscopic expertise.

Cited by 28 publications

References 15 publications

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

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

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

Cuidados intensivos para pacientes em pós-operatório de cirurgia bariátrica

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