Background Since the great diffusion of laparoscopic treatment of obesity, there is a growing interest concerning the learning process for those surgeons who undertake the bariatric activity. However, papers analyzing the learning curve (LC) for sleeve gastrectomy (SG) are still scarce. This study aims to investigate whether the LC for SG of a novice bariatric surgeon might be positively influenced by the training in a high-volume bariatric center (HVBC). Methods Between October 2010 and January 2014, 128 patients underwent SG by the same young surgeon who previously attended a 2-year training in a HVBC. His LC has been divided into three consecutive periods: in the first period (1st–47th SGs) he operated in the HVBC, while in the second (48th–88th SGs) and third period (89th–128th SGs) he moved to a novel department where surgical and ancillary staff were initially not confident with bariatric procedures but progressively owned the proper experience. Preoperative characteristics, operative data, complications and postoperative results of the three periods were compared. Results Mean follow-up was 1 year. Preoperative patients’ characteristics were homogeneous. No significant differences have been registered among the three periods concerning operative data, mortality, intra- and post-operative complications, weight loss outcomes and comorbidities’ resolution. Post-operative follow-up rates at 6 and 12 months were 98.4 and 92.1 %, respectively. Conclusions Long-lasting fellowship in a HVBC might allow the novel bariatric surgeon to safely and proficiently overcome the LC for SG, even in a new established bariatric setting.

Learning curve for laparoscopic sleeve gastrectomy. Role of training in a high-volume bariatric center / Casella, Giovanni; Soricelli, Emanuele; Giannotti, Domenico; Bernieri, MARIA GIULIA; Genco, Alfredo; Basso, Nicola; Redler, Adriano. - In: SURGICAL ENDOSCOPY. - ISSN 0930-2794. - 30:9(2016), pp. 3741-3748. [10.1007/s00464-015-4670-3]

Learning curve for laparoscopic sleeve gastrectomy. Role of training in a high-volume bariatric center

CASELLA, GIOVANNI
Writing – Original Draft Preparation
;
SORICELLI, EMANUELE
;
GIANNOTTI, DOMENICO;BERNIERI, MARIA GIULIA;GENCO, Alfredo;BASSO, Nicola;REDLER, Adriano
2016

Abstract

Background Since the great diffusion of laparoscopic treatment of obesity, there is a growing interest concerning the learning process for those surgeons who undertake the bariatric activity. However, papers analyzing the learning curve (LC) for sleeve gastrectomy (SG) are still scarce. This study aims to investigate whether the LC for SG of a novice bariatric surgeon might be positively influenced by the training in a high-volume bariatric center (HVBC). Methods Between October 2010 and January 2014, 128 patients underwent SG by the same young surgeon who previously attended a 2-year training in a HVBC. His LC has been divided into three consecutive periods: in the first period (1st–47th SGs) he operated in the HVBC, while in the second (48th–88th SGs) and third period (89th–128th SGs) he moved to a novel department where surgical and ancillary staff were initially not confident with bariatric procedures but progressively owned the proper experience. Preoperative characteristics, operative data, complications and postoperative results of the three periods were compared. Results Mean follow-up was 1 year. Preoperative patients’ characteristics were homogeneous. No significant differences have been registered among the three periods concerning operative data, mortality, intra- and post-operative complications, weight loss outcomes and comorbidities’ resolution. Post-operative follow-up rates at 6 and 12 months were 98.4 and 92.1 %, respectively. Conclusions Long-lasting fellowship in a HVBC might allow the novel bariatric surgeon to safely and proficiently overcome the LC for SG, even in a new established bariatric setting.
2016
Learning curve; Sleeve gastrectomy; Surgical training; Surgery
01 Pubblicazione su rivista::01a Articolo in rivista
Learning curve for laparoscopic sleeve gastrectomy. Role of training in a high-volume bariatric center / Casella, Giovanni; Soricelli, Emanuele; Giannotti, Domenico; Bernieri, MARIA GIULIA; Genco, Alfredo; Basso, Nicola; Redler, Adriano. - In: SURGICAL ENDOSCOPY. - ISSN 0930-2794. - 30:9(2016), pp. 3741-3748. [10.1007/s00464-015-4670-3]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/852946
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