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Related Experiment Videos

Who should be doing laparoscopic bariatric surgery?

Osama Al-Saif1, Scott F Gallagher, Magdalena Banasiak

  • 1Department of Surgery, Interdisciplinary Obesity Group, University of South Florida, Tampa, FL 33601, USA.

Obesity Surgery
|March 13, 2003
PubMed
Summary

Surgeon training for laparoscopic bariatric surgery is debated. Most agree bariatric surgeons should perform these procedures, with open surgeons favoring clinical trials for laparoscopic techniques.

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Area of Science:

  • Surgical Education
  • Minimally Invasive Surgery
  • Bariatric Surgery

Background:

  • Training and credentialing for laparoscopic bariatric surgery remain controversial.
  • This study investigates the relationship between surgeons' practices and their approach to open versus laparoscopic bariatric surgery.

Purpose of the Study:

  • To determine if there is an association between surgeons' practice type (open vs. laparoscopic) and their views on laparoscopic bariatric surgery training and credentialing.
  • To understand the perceptions of surgeons regarding the safety, efficacy, and necessary qualifications for performing laparoscopic bariatric procedures.

Main Methods:

  • A survey was emailed to members of the American Society for Bariatric Surgery (ASBS).
  • Responses were analyzed using Cochran-Mantel-Haenszel or Pearson's chi-square tests to identify associations.

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Main Results:

  • Of 104 respondents, 65% were in private practice, and 47% performed 1-5 operations weekly.
  • 48% offered open procedures exclusively, while 76% performed gastric bypass.
  • Surgeons performing only open procedures expressed skepticism about laparoscopic techniques, emphasizing the need for more open experience and clinical trials, whereas those with laparoscopic training viewed it as safe and effective.

Conclusions:

  • Consensus exists that laparoscopic bariatric surgery requires surgeons with a dedicated interest in bariatric procedures.
  • Both open and laparoscopic bariatric surgeons should pursue additional training through courses and preceptorships.
  • Clinical trials may alleviate skepticism among surgeons primarily performing open procedures, and the ASBS should lead in fostering new technologies.