4.1 Article

Lack of Effective Surgical Team Communication During a Laparoscopic Roux-en-Y Gastric Bypass, Leading to a Severe Intraoperative Complication

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MARY ANN LIEBERT, INC
DOI: 10.1089/lap.2021.0778

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effective teamwork; nontechnical skills; laparoscopic surgery; laparoscopic gastric bypass; manual gastrojejunal anastomosis

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Efficient teamwork and a culture of safety are crucial for avoiding intraoperative complications during complex laparoscopic surgical procedures, highlighting the importance of effective communication among surgical team members.
Introduction: Laparoscopic Roux-en-Y gastric bypass surgical technique systematization makes it a very safe technique that it is not exempt from intraoperative complications. One of the key aspects for performing a safe procedure is combining technical expertise with nontechnical skills, such as communication and teamwork.Materials and Methods: We describe a case that highlights the importance of surgical team interaction to avoid intraoperative complications during bariatric surgery, as an incidental stapling of the nasogastric tube.Results: This clinical case highlights the importance of effective teamwork and a culture of safety during complex laparoscopic surgical procedures.Conclusions: The lack of effective surgical team communication during a laparoscopic Roux-en-Y gastric bypass can be a cause of severe surgical complications that requires experience of the surgical team for its resolution.

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