Learning Curve in Two-Port Laparoscopic Gastropexy Using FlexDex.

Area of Science:

• Veterinary Surgery
• Minimally Invasive Procedures
• Surgical Technology

Background:

• Keyhole gastropexy is gaining popularity due to its potential for shorter surgical times.
• The FlexDex device offers robotic surgery-like capabilities without the need for an expensive robotic theater.

Purpose of the Study:

• To report on the learning curve associated with two-port laparoscopic gastropexy using the FlexDex device in a specialist's hands.
• To evaluate the efficacy and safety of this novel surgical approach.

Main Methods:

• A consecutive cohort of 16 dogs weighing over 25 kg and at high risk for gastric volvulus and dilatation (GDV) were enrolled.
• Surgical times were recorded to assess the learning curve, with competence defined as plateauing surgical time.
• Follow-up assessments included success rate and complication monitoring, with ultrasound confirming gastropexy success.

Main Results:

• All 16 dogs underwent successful laparoscopic gastropexy with no significant complications.
• Surgical time decreased from an average of 52 minutes to 14 minutes, a 73% reduction.
• A steep learning curve was observed, with surgical time plateauing after the 12th case, indicating rapid proficiency.

Conclusions:

• This is the first report on the learning curve for FlexDex in two-port laparoscopic gastropexy.
• The FlexDex device effectively reduces operating time by approximately 50%, enhancing patient safety and cost-effectiveness.
• The procedure demonstrates a high success rate without compromising surgical outcomes.