Comparing results of residents and attending surgeons to determine whether laparoscopic colectomy is safe
| Autor: | John R. Mehall, Steven A. Fassler, D. Mark Zebley, Steven G. Harper, Joseph H. Nejman, Sahir Shroff |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Colectomies Time Factors medicine.medical_treatment Hospitals Community Laparoscopic colectomy Patient safety Colonic Diseases Postoperative Complications Outcome Assessment Health Care Medical Staff Hospital Medicine Humans Laparoscopy Colectomy Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry General surgery Incidence (epidemiology) Internship and Residency General Medicine Middle Aged Pennsylvania Surgery Endoscopy Operative time Female Clinical Competence business |
| Zdroj: | American journal of surgery. 189(6) |
| ISSN: | 0002-9610 |
| Popis: | This study was undertaken to compare the technical success and outcomes of laparoscopic colectomy performed by resident surgeons (RS) and attending surgeons (AS).A review of 451 consecutive laparoscopic colectomies performed by 2 surgeons either with or without a general surgery resident. Data reviewed included demographics, diagnoses, operative data, and outcomes. Comparison was made between patients operated on by RS under attending surgeon supervision, and patients operated on by AS alone.Of 451 patients, 324 were operated on by RS and 127 by AS. The mean age and preoperative diagnoses were similar between groups. Operative time was significantly longer in the RS group (155 minutes vs. 128 minutes, P.05). Blood loss was slightly higher in RS groups but was not statistically significant (191 mL vs. 174 mL, P = .31). The incidence of conversion to an open procedure, postoperative complications, and length of stay were similar between groups.Supervised RS can safely perform laparoscopic colectomy with results similar to AS. RS take longer to perform the procedure than AS. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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