Open cholecystectomy: Exposure and confidence of surgical trainees and new fellows
| Autor: | Andreas L. Lambrianides, Beth M. Campbell, Joel M. Dulhunty |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Open cholecystectomy Simulation training Conversion to open surgery 03 medical and health sciences 0302 clinical medicine medicine Humans Cholecystectomy Fellowships and Scholarships Laparoscopy Laparoscopic cholecystectomy medicine.diagnostic_test business.industry General surgery General Medicine Surgical training Cross-Sectional Studies Cholecystectomy Laparoscopic 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Surgery Clinical Competence business |
| Zdroj: | International Journal of Surgery. 51:218-222 |
| ISSN: | 1743-9191 |
| Popis: | Background The laparoscopic approach to cholecystectomy has overtaken open procedures in terms of frequency, despite open procedures playing an important role in certain clinical situations. This study explored exposure and confidence of Australasian surgical trainees and new fellows in performing an open versus laparoscopic cholecystectomy. Materials and methods An online survey was disseminated via the Royal Australasian College of Surgeons to senior general surgery trainees (years 3–5 of surgical training) and new fellows (fellowship within the previous 5 years). The survey included questions regarding level of experience and confidence in performing an open cholecystectomy and converting from a laparoscopic to an open approach. Results A total of 135 participants responded; 58 (43%) were surgical trainees, 58 (43%) were fellows and 19 (14%) did not specify their level of training. Respondents who were involved in more than 20 open cholecystectomy procedures as an assistant or independent operator compared with those less exposed were more likely to feel confident to independently perform an elective open cholecystectomy (87.8% vs. 57.3%, P = 0.001), independently convert from a laparoscopic to open cholecystectomy (87.8% vs. 58.7%, P = 0.001) and independently perform an open cholecystectomy as a surgical consultant based on their level of exposure as a trainee (73.2% vs. 45.3%, P = 0.004). Conclusion This study suggests the need to ensure surgical trainees are exposed to sufficient open cholecystectomies to enable confidence and skill with performing these procedures when indicated. Greater recognition of the need for exposure during training, including meaningful simulation, may assist. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect