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Laparoscopic bariatric surgery training program model: gastric bypass.
Fabio R Thuler1, Wilson R de Freitas, Elias J Ilias
1Department of Surgery of the Santa Casa Medical School, São Paulo, SP, Brazil. fabiothuler@gmail.com.
BMC Surgery
|December 4, 2014
Summary
A new laparoscopic surgery training method effectively prepared experienced surgeons for obesity treatment, demonstrating efficiency without increasing initial complications during the learning curve.
Area of Science:
- Surgical training and bariatric procedures.
- Minimally invasive surgery techniques.
Background:
- Laparoscopic bariatric surgery is preferred globally but presents a steep learning curve and potential for complications.
- Specialized training is crucial for safe adoption and maintaining patient benefits.
Purpose of the Study:
- To introduce a novel laparoscopic surgery training method for obesity treatment.
- To assess the efficiency and safety of this training program.
Main Methods:
- A training program was developed for 36 surgeons experienced in open bariatric surgery.
- Outcomes of their initial laparoscopic procedures were monitored for major complications within 30 days.
Main Results:
- Thirteen surgeons who completed the program performed 403 surgeries and were followed for 18 months.
- A low rate of 4 major complications (1%) was observed, indicating safety.
Conclusions:
- The training program proved effective for surgeons transitioning from open to laparoscopic bariatric surgery.
- The method allowed participants to acquire laparoscopic skills without elevating early-stage complication rates.

