Clinical assessment of operative time as a safety factor in bariatric surgery

Voskanyan S.E.

Burnazyan Federal Medical Biophysical Center

Samoylov V.S.

State Rresearch Center — Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Redkin A.N.

Burdenko Voronezh State Medical University

Clinical assessment of operative time as a safety factor in bariatric surgery

Authors:

Voskanyan S.E., Samoylov V.S., Redkin A.N.

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Journal: Endoscopic Surgery. 2022;28(2): 34‑42

DOI: 10.17116/endoskop20222802134

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To cite this article:

Voskanyan SE, Samoylov VS, Redkin AN. Clinical assessment of operative time as a safety factor in bariatric surgery. Endoscopic Surgery. 2022;28(2):34‑42. (In Russ.)
https://doi.org/10.17116/endoskop20222802134

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BACKGROUND

The most important thing in a bariatric procedure is its duration, which reflects the invasiveness and directly affects the patient’s safety profile.

OBJECTIVE

Purpose of work: to analyze the duration of bariatric surgeries and to evaluate the factors influencing this parameter.

MATERIAL AND METHODS

752 patients underwent various types of bariatric interventions from 2013 to 2020. The factors influencing the duration of the procedure were assessed.

RESULTS

The average duration was 110.2±14.2 minutes (med. 100 minutes). Differences in duration took place between endoscopic, laparoscopic and laparotomic operations, as well as between operations with two anastomoses (gastric bypass, biliopancreatic diversion) and with one anastomosis (mini-gastric bypass) or without anastomoses (sleeve gastrectomy, gastric band), medians 155, 240, 100, 95 and 90 minutes, respectively (p<0.001). The duration of the operation is significantly higher in superobesity and in older patients. The long-lasting influence of the accumulation of surgical experience on the duration of operations has been proven. Almost all simultaneous interventions, except for cruroraphy, significantly increased the duration of the operation. The risk of complications significantly increases if a surgery lasted more than 2 hours and 10 minutes. The use of special techniques and devices can reduce the operation time by 16.2 minutes.

CONCLUSION

It is advisable to give preference to single-anastomotic interventions (MGB-OAGB) in the presence of indications for more complex types of bariatric procedures, which with the same effectiveness can reduce the operation time by 1.5 times which has a positive effect on the safety profile in general.

Keywords:

bariatric surgery

duration of surgery

morbid obesity

patient safety profile

Authors:

Voskanyan S.E.

Burnazyan Federal Medical Biophysical Center

Samoylov V.S.

State Rresearch Center — Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Redkin A.N.

Burdenko Voronezh State Medical University

Received:

22.11.2021

Accepted:

08.12.2021

List of references:

Townsend CM. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice, 21th Edition. Elsevier Health Sciences, 2021.
Khatsiev BB, Kuzminov AN, Iashkov IuI, Uzdenov NA. Concept of fast-track surgery after bariatric procedures. Endoscopischeskaya khirurgiya. 2014;20(2):28-33. (In Russ.).
Camacho D, Zundel N. (eds.), Complications in Bariatric Surgery. Springer International Publishing AG, part of Springer Nature, 2018. https://doi.org/10.1007/978-3-319-75841-1
Osnovy bariatricheskoj mediciny: prakticheskoe rukovodstvo. Pod red. Fishman M.B. M.: Izdatel’sko-poligraficheskaja associacija vysshih uchebnyh zavedenij; 2019. (In Russ.).
Dedov II, Mel’nichenko GA, Shestakova MV, Troshina EA, Mazurina NV, Shestakova EA, Yashkov YuI, Neimark AE, Biryukova EV, Bondarenko IZ, Bordan NS, Dzgoeva FKh, Ershova EV, Komshilova KA, Mkrtumyan AM, Petunina NA, Romantsova TI, Starostina EG, Strongin LG, Suplotova LA, Fadeyev VV. Russian national clinical recommendations for morbid obesity treatment in adults. 3rd revision (Morbid obesity treatment in adults). Ozhireniye i metabolism. 2018;15(1):53-70. (In Russ.). https://doi.org/10.14341/omet2018153-70
World Health Organization. WHO fact sheet No 311. Geneva: WHO; 2015. Obesity and Overweight. November 30,2015.
Samoilov VS, Popov VV, Moshurov IP, Redkin AN. Simultaneous Bariatric Surgeries in Females with Neoplasm of the Reproductive System and Morbid Obesity. Vestnik eksperimental’noi i klinicheskoi khirurgii. 2021;14(1):42-46. (In Russ.). https://doi.org/10.18499/2070-478X-2021-14-1-42-46
Samoylov VS, Popov VV, Moshurov IP, Mihaylov AA, Gorbunova KI, Stepanenko AV. Clinical case of simultaneous laparoscopic sleeve gastrectomy and hysterectomy of uterine cancer female with morbid obesity. Moskovskii khirurgicheskii zhurnal. 2020;4:82-87. (In Russ.).
Inaba CS, Koh CY, Sujatha-Bhaskar S, Gallagher S, Chen Y, Nguyen NT. Operative time as a marker of quality in bariatric surgery. Surg Obes Relat Dis. 2019;15(7):1113-1120. https://doi.org/10.1016/j.soard.2019.04.010
Samojlov VS, Gluhov AA. Method for one-moment prevention of bile reflux and protection of gastroenteroanastomosis during mini-gastric shunting. Ru patent 0002629045. (In Russ.). https://patentscope.wipo.int/search/ru/detail.jsf?docId=RU203377389

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