• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Learning Curve for Robotic Sleeve Gastrectomy, Roux-en-Y & One-Anastomosis Gastric Bypass

Jackly M Juprasert, MD1, Francesca M Dimou, MD1, Lauren Tufts1, Katherine D Gray, MD1, Omar Bellorin, MD2, Gregory Dakin, MD1, Alfons Pomp, MD1, Cheguevara Afaneh, MD1. 1NewYork-Presbyterian Hospital/Weill Cornell Medicine, 2The Valley Hospital/Valley Health System

INTRODUCTION: The safety and efficacy of robotic bariatric surgery has been established. However, the learning curve has been variably documented and assessed. In this study, we describe our experience with the learning curve in robotic sleeve gastrectomy (RSG), robotic one-anastomosis bypass (ROAB), and robotic Roux-en-Y gastric bypass (RRYGB).

METHODS: Consecutive patients undergoing primary robotic bariatric surgery from October 2015 to July 2018 by a minimally invasive fellowship (MIF)-trained surgeon (Surgeon 1) during his first three years of attending practice were included. Demographic and perioperative data were collected via retrospective chart review. The primary outcome was the learning curve in RSG, RRYGB, and ROAB, represented as the change in operative time over the course of this study and calculated by linear regression fit lines over the number of procedures performed. Secondary outcomes were estimated blood loss (EBL), length of stay (LOS), 90-day readmission, and morbidity. To externally validate our single-surgeon results, we compared our data to Surgeon 2 who trained under Surgeon 1. We report on Surgeon 2’s learning curve and outcomes during his first year in practice in 2017. Resident and fellow participation did not change significantly throughout the study period.

RESULTS: A total of 241 patients undergoing RSG (n=162), RRYGB (n=53), and ROAB (n= 26) by Surgeon 1 were included. Median age was 42±12.5years (range 18-72). 75% were female. 67% of patients had ASA scores ≥3. Mean pre-operative BMI was 45.9±8.9 (23.3-92.5). Mean operative time for RSG for 2015-2016, 2016-2017, and 2017-2018 were 110±26 (73-185), 98.3±25 (60-211), and 90.8±24 (54-211) respectively. Mean operative time for RRYGB for 2015-2016, 2016-2017, and 2017-2018 were 200±36 (141-268), 178±44 (117-278), and 142±37 (87-278) respectively. Mean operative time for ROAB for 2016-2017 and 2017-2018 were 104±21 (72-142) and 98.2±19 (71-142) respectively. Operative time decreased over time for all three procedures (Figure 1). There were no conversions to open. Mean EBL was 33.2±37mL (0-250). Mean LOS was 2.18±1.83days (1-26). 90-day readmission rate was 6%. Overall morbidity rate was 5.8%. Mortality was zero. The RSG learning curve was shorter for Surgeon 2 with a comparable complication rate of 4% (Figure 1); Surgeon 2 did not perform enough RRYGB or ROAB cases to construct learning curves.

CONCLUSIONS: RSG, RRYGB, and ROAB operative time consistently and rapidly decreased while morbidity and readmission rates remained low, suggesting that the learning curve for robotic bariatric surgery is quick without compromising patient safety or increased morbidity.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 95157

Program Number: P158

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

View this Poster

60

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2019 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons