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What Makes Bariatric Operations Difficult–Results of a National Survey

Background and objective: The most commonly performed bariatric procedures include laparoscopic sleeve gastrectomy (LSG), laparoscopic Roux-en-Y gastric bypass (LRYGB), and one anastomosis gastric bypass-mini gastric bypass (OAGB-MGB). A study comparing the degree of difficulty among those procedure...

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Autores principales: Major, Piotr, Stefura, Tomasz, Walędziak, Maciej, Janik, Michał, Pędziwiatr, Michał, Wysocki, Michał, Rubinkiewicz, Mateusz, Witowski, Jan, Szeliga, Jacek, Budzyński, Andrzej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6631593/
https://www.ncbi.nlm.nih.gov/pubmed/31141961
http://dx.doi.org/10.3390/medicina55060218
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author Major, Piotr
Stefura, Tomasz
Walędziak, Maciej
Janik, Michał
Pędziwiatr, Michał
Wysocki, Michał
Rubinkiewicz, Mateusz
Witowski, Jan
Szeliga, Jacek
Budzyński, Andrzej
author_facet Major, Piotr
Stefura, Tomasz
Walędziak, Maciej
Janik, Michał
Pędziwiatr, Michał
Wysocki, Michał
Rubinkiewicz, Mateusz
Witowski, Jan
Szeliga, Jacek
Budzyński, Andrzej
author_sort Major, Piotr
collection PubMed
description Background and objective: The most commonly performed bariatric procedures include laparoscopic sleeve gastrectomy (LSG), laparoscopic Roux-en-Y gastric bypass (LRYGB), and one anastomosis gastric bypass-mini gastric bypass (OAGB-MGB). A study comparing the degree of difficulty among those procedures could serve as a guide for decision making in bariatric surgery and further improve training programs for general surgery trainees. The aim of this study was to compare the subjective level of technical difficulty of LSG, LRYGB, and OAGB–MGB as perceived by surgeons and surgical residents. Materials and Methods: An anonymous internet-based survey was designed to evaluate the subjective opinions of surgeons and surgical residents in training in Poland. It covered baseline characteristics of the participants, difficulty of LSG, OAGB-MGB, LRYGB and particular stages of each operation assessed on a 1–5 scale. Results: Overall, 70 surgeons and residents participated in our survey. The mean difficulty degree of LSG was 2.34 ± 0.89. The reinforcing staple line with sutures was considered most difficult stage of this operation (3.17 ± 1.19). The LRYGB operation had an average difficulty level of 3.87 ± 1.04. Creation of the gastrojejunostomy was considered the most difficult stage of LRYGB with a mean difficulty level (3.68 ± 1.16). Responders to our survey assessed the mean degree of difficulty of OAGB-MGB as 2.34 ± 0.97. According to participating surgeons, creating the gastrojejunostomy is the most difficult phase of this operation (3.68 ± 1.16). Conclusion: The LSG is perceived by surgeons as a relatively easy operation. The LRYGB was considered to be the most technically challenging procedure in our survey. Operative stages, which require intra-abdominal suturing with laparoscopic instruments, seem to be the most difficult phases of each operation.
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spelling pubmed-66315932019-08-19 What Makes Bariatric Operations Difficult–Results of a National Survey Major, Piotr Stefura, Tomasz Walędziak, Maciej Janik, Michał Pędziwiatr, Michał Wysocki, Michał Rubinkiewicz, Mateusz Witowski, Jan Szeliga, Jacek Budzyński, Andrzej Medicina (Kaunas) Article Background and objective: The most commonly performed bariatric procedures include laparoscopic sleeve gastrectomy (LSG), laparoscopic Roux-en-Y gastric bypass (LRYGB), and one anastomosis gastric bypass-mini gastric bypass (OAGB-MGB). A study comparing the degree of difficulty among those procedures could serve as a guide for decision making in bariatric surgery and further improve training programs for general surgery trainees. The aim of this study was to compare the subjective level of technical difficulty of LSG, LRYGB, and OAGB–MGB as perceived by surgeons and surgical residents. Materials and Methods: An anonymous internet-based survey was designed to evaluate the subjective opinions of surgeons and surgical residents in training in Poland. It covered baseline characteristics of the participants, difficulty of LSG, OAGB-MGB, LRYGB and particular stages of each operation assessed on a 1–5 scale. Results: Overall, 70 surgeons and residents participated in our survey. The mean difficulty degree of LSG was 2.34 ± 0.89. The reinforcing staple line with sutures was considered most difficult stage of this operation (3.17 ± 1.19). The LRYGB operation had an average difficulty level of 3.87 ± 1.04. Creation of the gastrojejunostomy was considered the most difficult stage of LRYGB with a mean difficulty level (3.68 ± 1.16). Responders to our survey assessed the mean degree of difficulty of OAGB-MGB as 2.34 ± 0.97. According to participating surgeons, creating the gastrojejunostomy is the most difficult phase of this operation (3.68 ± 1.16). Conclusion: The LSG is perceived by surgeons as a relatively easy operation. The LRYGB was considered to be the most technically challenging procedure in our survey. Operative stages, which require intra-abdominal suturing with laparoscopic instruments, seem to be the most difficult phases of each operation. MDPI 2019-05-28 /pmc/articles/PMC6631593/ /pubmed/31141961 http://dx.doi.org/10.3390/medicina55060218 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Major, Piotr
Stefura, Tomasz
Walędziak, Maciej
Janik, Michał
Pędziwiatr, Michał
Wysocki, Michał
Rubinkiewicz, Mateusz
Witowski, Jan
Szeliga, Jacek
Budzyński, Andrzej
What Makes Bariatric Operations Difficult–Results of a National Survey
title What Makes Bariatric Operations Difficult–Results of a National Survey
title_full What Makes Bariatric Operations Difficult–Results of a National Survey
title_fullStr What Makes Bariatric Operations Difficult–Results of a National Survey
title_full_unstemmed What Makes Bariatric Operations Difficult–Results of a National Survey
title_short What Makes Bariatric Operations Difficult–Results of a National Survey
title_sort what makes bariatric operations difficult–results of a national survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6631593/
https://www.ncbi.nlm.nih.gov/pubmed/31141961
http://dx.doi.org/10.3390/medicina55060218
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