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Surgical Spotlight: Sleeve Gastrectomy

Sleeve Gastrectomy Insights

Obesity is a public health crisis in the US, affecting more than one third of adults. In addition to diet and exercise, medications and surgical procedures are effective obesity treatments for eligible patients, and laparoscopic vertical sleeve gastrectomy is the most commonly performed weight loss surgery in the world.  

 

Theator’s Surgical Intelligence database has compiled more than 700 sleeve gastrectomy procedures to date from 10 different health systems.

 

Like all surgical procedures, sleeve gastrectomy has potential complications, including:

  • Bleeding (1.16 – 4.94 %)
  • Leakage (1 – 4%)
  • Acute pancreatitis (1.04%)
  • Venous thromboembolism (0.06 – 2.20%)

 

30-day readmission occurs in 3.89% of patients following sleeve gastrectomy. The most common reasons for readmission after bariatric surgery include:

  • Nausea/vomiting (14.05%)
  • Abdominal pain (12.14%)
  • Dehydration (10.78%)

 

Importantly, international best practice guidelines for sleeve gastrectomy note that a lack of standardization can lead to poor outcomes, and if surgeons consistently followed surgical practice techniques, surgical outcomes would be better.

 

For more sleeve gastrectomy insights, download our procedure spotlight report.

Surgical Practices in Sleeve Gastrectomy

Guidance on surgical practices for sleeve gastrectomy continues to evolve as the body of research on this topic grows. This is excellent news for patients, as the more practices are standardized based on clinical evidence, the better outcomes will be.  

For example, staple line reinforcement may reduce the risk of bleeding along the suture line and other perioperative complications. Notably, there is no current evidence to support one staple line reinforcement technique over another, so techniques vary by surgeon and across institutions. 

This is just one metric that Theator’s Surgical Intelligence Platform recognizes, analyzes, and connects to health system outcomes so hospital administrators and surgeons can take a data-driven approach to improving the quality of surgical care. 

Curious to know what other insights we’ve seen in our database of gastric sleeve surgeries? Download the full report here.

Surgical Spotlight: Robot-Assisted Radical Prostatectomy

Robot-Assisted Radical Prostatectomy Insights

Prostate cancer is the second most common cancer in men, with an estimated 288k new cases diagnosed in the US every year, and an estimated 34k deaths per year as a result of it. 

 

Robot-assisted radical prostatectomy (RARP) has been a treatment option for men with intermediate to high-risk prostate cancer since 2001. Theator’s Surgical Intelligence database has compiled more than 750 RARP procedures to date, from 6 different health systems. 

Like any surgical procedure, RARP has potential complications, including: 

    • bleeding/vascular complications (1.9-6.8% of cases)
    • urinary incontinence (4-31% of cases)
    • erectile dysfunction (10% of cases)

In the 5 years following RARP, 17% of patients are readmitted. The most common reasons are:

    • Urinary obstruction (73%) 
    • Urinary infection (13.5%) 
    • Bleeding (6%)

In addition to the physical and emotional impact on patients in these cases, hospitals incur significant costs.

Surgical Practices in Robot-assisted Radical Prostatectomies

You might think a surgery that has been done for decades would be standardized with surgeons from all over the world performing the same steps and same surgical practices. Unfortunately, this is far from the truth. 

Not only are surgical practices not agreed upon, there’s very little data to support which approach or which techniques consistently optimize outcomes. 

For example, one surgical practice, bladder neck suture, is performed 9% of the time at one health system, and 50% of the time at another. Which begs the question: why the variability?

This is just one metric that Theator’s Surgical Intelligence Platform recognizes and analyzes across a health system and connects it to outcomes, so hospital administrators and surgeons alike can take a data-driven approach to improving the quality of surgery. 

Curious to know what other insights we’ve seen in our database of RARP surgeries? Download the full report here

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