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Lessons from the COVID-19 pandemic: remote coaching in bariatric surgery
Mario Musella1, Gennaro Martines2, Giovanna Berardi1
1Advanced Biomedical Sciences Department, Naples "Federico II" University, AOU "Federico II" - Via S. Pansini 5, 80131, Naples, Italy.
Langenbeck'S Archives of Surgery
|July 19, 2022
Summary
Remote telementoring for laparoscopic sleeve gastrectomy (LSG) is feasible and safe. An experienced surgeon remotely guided a new surgeon through 8 LSG procedures, demonstrating successful outcomes and reduced operative times.
Area of Science:
- Surgical Education
- Minimally Invasive Surgery
- Telemedicine
Background:
- Advancements in internet technology enable various video-assisted teaching methods.
- Remote proctoring has not been previously documented for bariatric surgery.
- This study explores remote telementoring for laparoscopic sleeve gastrectomy (LSG).
Purpose of the Study:
- To evaluate the feasibility and safety of remote telementoring for laparoscopic sleeve gastrectomy (LSG).
- To assess the learning curve and outcomes of a surgeon new to bariatric practice under remote guidance.
Main Methods:
- A series of 8 LSG procedures were performed by a general surgeon new to bariatric practice.
- Remote guidance was provided by an experienced bariatric surgeon via a dedicated videoconferencing platform.
- Data collected included patient demographics, operative time, hospital stay, and complications.
Main Results:
- All 8 procedures were completed successfully without conversion to open surgery or complications.
- Mean operative time was 112.4 minutes, and mean hospital stay was 3.5 days.
- Operative time demonstrated a significant decrease after the fourth procedure, indicating a learning curve.
Conclusions:
- Remote telementoring is a viable and safe method for training surgeons in laparoscopic sleeve gastrectomy.
- This approach can facilitate the adoption of bariatric procedures by surgeons in early stages of their practice.
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