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. 2017 May 30;27(11):2974–2980. doi: 10.1007/s11695-017-2729-z

Table 2.

Reported average start of postgraduate training year for each step of laparoscopic gastric bypass and gastric sleeve procedure as reported by lead bariatric surgeons

Gastric bypass Gastric sleeve
Reported PGY Reported PGY
Pre-operative checklist
 Instrument check 1.5 (1–4) 1.5 (1–4)
 Team position 1.5 (1–4) 2 (1–4)
 Monitor position 2 (1–4) 2 (1–4)
 Patient position 2 (1–4) 2 (1–4)
 Antibiotic prophylaxis check 1 (1–4) 2 (1–4)
 Disinfection/sterile field 1 (1–4) 2 (1–4)
 Insertion of gastric bougie 1.5 (1–4) 2 (1–4)
Initializing pneumoperitoneum
 Camera-assisted trocar introduction 2 (1–4) 2 (1–4)
 Introduction of Veress needle 2 (1–4) 2 (1–4)
 Introduction of trocars 2 (1–4) 2 (1–4)
 Diagnostic laparoscopy 2 (1–4) 2 (1–4)
Exposure operating field
 Introduction of liver retractor 2.5 (1–5) 3 (1–5.5)
 Opening of pars flaccid 3 (1–4)
 Exposition of greater curvature 3 (2–6.5)
 Exposition of crus 3.5 (2–6.5)
 Stapling of stomach/sleeve 4 (2–5.5) 3.5 (2–6.5)
 Separation of greater omentum 3.5 (2–5.5)
 Measuring jejunum from Treitz 4 (2–6)
 Stapled gastro-enterostomy 4 (2–6)
 Placement of stay sutures 3.5 (3–5.5)
 Suturing pouch defect 4 (2–6)
 Measuring jejunum pouch-distal 3.5 (2–6)
 Creation of stapled jejuno-jejunostomy 4 (2–6)
 Placement of stay sutures on jejunum 2 (2–5.5)
 Suture of jejunal anastomotic defect 4 (2–6)
 Transection of the bowel limb 4 (1–6)
 Closure of mesenteric defect 4 (1–6)
 Extraction of gastric remnant 3.5 (2–6.5)
Finishing procedure
 Removal of gastric bougie 2 (1–4) 2 (0–4)
 Removal of liver retractor 2.5 (1–4) 2 (1–4)
 Removal of trocars 2 (1–4) 2 (1–4)
 Closing fascia defects >10 mm 2 (1–4) 2.5 (1–4)
 Skin suturing 1 (1–2) 1 (1–3)

Data displayed as median (range). Fellowship training is displayed as PGY 7 to 8