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