Eliminating Learning Curve Related Morbidity in Fast Track Laparoscopic Roux-en-Y Gastric Bypass

NCT ID: NCT01257789

Last Updated: 2010-12-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-03-31

Study Completion Date

2010-02-28

Brief Summary

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Background: Laparoscopic Roux en Y gastric bypass (LRYGB) is associated with a significant learning curve. We report the results of a systematic training programme from a high volume bariatric center measuring the outcome by comparing the results with data from a consecutive series of 1000 fast track LRYGB.

Method: Using a stepwise training programme the RY gastric bypass operation was divided into an upper and lower procedure and subdivided into 11 well defined steps. A laparoscopic surgeon without experience in upper GI surgery was mentored by an experienced bariatric surgeon. During 6 months full time fellowship 300 operations were performed.

Results: The trainee surgeon performed 61 upper procedures, and 121 lower procedures in which the mentor surgeon did the other part of the operation. In 110 patients the trainee performed both procedures. Two percent had peri-operative complications compared to 1% of 1000 patients. All were repaired and had an uneventful recovery. Two percent had postoperative complications \< 30 days compared to 2.8% in the clinic. In the trainees series there were no leaks compared to 1% in 1000 patients. Operative time was 56/55/70 min for operation 0-100/100-200/200-300 compared with an average of 47 minutes registered in the clinic. Concerning time to discharge there was no difference between patients operated by the trainee and the standard of the clinic.

Conclusion: Using a systematic training program in laparoscopic RY gastric bypass surgery eliminates morbidity of the learning curve without affecting the volume.

Detailed Description

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Conditions

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Postoperative Complications Operative Time Surgical Volume

Keywords

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laparoscopic gastric bypass learning curve complications operative time

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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gastric bypass patients

Consecutive series of 300 patients undergoing laparoscopic gastric bypass

laparoscopic gastric bypass

Intervention Type PROCEDURE

laparoscopic gastric bypass

Interventions

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laparoscopic gastric bypass

laparoscopic gastric bypass

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

patients undergoing laparoscopic gastric bypass

Exclusion Criteria

* super obesity
* male patients
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Private Hospital Moelholm

OTHER

Sponsor Role lead

Responsible Party

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Private Hospital Moelholm

Locations

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Private Hospital Moelholm

Vejle, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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PHM-GB learning study

Identifier Type: -

Identifier Source: org_study_id