Minimally invasive surgery fellowship is one of the most sought-after positions after residency.
The increased use of bariatric operations has provided an abundance of advanced cases.
Dr Ronald Clements and colleagues determined if the addition of an minimally invasive surgery fellowship program has any impact on morbidity and mortality in a university-based bariatric program.
|The incidence of mortality was less than 1%|
|Journal American College of Surgen|
The research team collected prospectively entered data from all laparoscopic gastric bypasses performed by a surgeon from 2001 until 2006.
The team reviewed morbidity and mortality before and after development of the minimally invasive surgery program.
Mean operative time, length of hospital stay, anastomotic leaks and strictures were compared before and after the program.
The researchers also compared gastrointestinal bleeds, internal hernia, and mortality.
A total of 761 laparoscopic gastric bypasses were performed.
For the total population, operating room time was 104 minutes and length of hospital stay was 2 days.
Incidences of morbidities from leaks, gastric outlet obstruction, and gastrointestinal bleed were less than 1%.
The team noted that the incidence of anastomotic stricture was 7%, and 2% for incarcerated internal hernia.
The research team found that the incidence for marginal ulcers was 5%, and mortality occurred in less than 1%.
Dr Clements' team concluded, "Addition of an minimally invasive surgery fellowship does not change the morbidity and mortality of laparoscopic gastric bypass."
"The fellowship was developed in the context of a university-based bariatric practice that uses a systematic approach to preoperative evaluation, operative technique, and postoperative management."