Abstract
BackgroundLaparoscopy for bariatric surgery became the surgery of choice for surgeons worldwide. However, it is also more difficult to learn and has a great potential for complications. The specific training is fundamental to maintain the benefits without increasing the complications. This study presents a laparoscopic surgery training method for the treatment of obesity and to analyze its efficiency.MethodA training program for 36 surgeons with experience in open bariatric surgery was proposed, and the surgical results of their first laparoscopic surgeries were accompanied as for greater complications, such as death, intestinal obstruction, bleeding and fistula within the first 30 days.ResultsOf the 36 surgeons who completed the program, thirteen who performed 403 surgeries were accompanied for 18 months to evaluate morbidity and mortality. There were 4 cases of greater complications (1%).ConclusionsThe proposed program was efficient for this specific group of surgeons, as it permitted the participants to learn the procedure without increasing the initial complications in the learning curve.
Highlights
Laparoscopy for bariatric surgery became the surgery of choice for surgeons worldwide
The proposed program was efficient for this specific group of surgeons, as it permitted the participants to learn the procedure without increasing the initial complications in the learning curve
In January, 2012, the Brazilian National Health Agency included laparoscopic access for bariatric surgery in the list of procedures paid by the health insurance companies, which naturally induced an increase in the demand for this procedure and for training on the part of Brazilian surgeons
Summary
Laparoscopy for bariatric surgery became the surgery of choice for surgeons worldwide. The specific training is fundamental to maintain the benefits without increasing the complications. This study presents a laparoscopic surgery training method for the treatment of obesity and to analyze its efficiency. In January, 2012, the Brazilian National Health Agency included laparoscopic access for bariatric surgery in the list of procedures paid by the health insurance companies, which naturally induced an increase in the demand for this procedure and for training on the part of Brazilian surgeons. Laparoscopy for bariatric surgery became the surgery of choice for surgeons worldwide, as it presents advantages in terms of surgical trauma, pain and early discharge from the hospital [2,3]. The importance of specific training is fundamental to maintain the benefits without increasing the
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