Feasibility of a Consultant-led, Trainee-delivered Urgent Laparoscopic Cholecystectomy Service
| Autor: | N.J. Carty, R. Clarke, C.J. Ranaboldo, O.A. Khan, H. Arnot, A.S. Ghauri |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Emergency Medical Services medicine.medical_specialty Pilot Projects Gallstones Audit Intervention (counseling) Medical Staff Hospital medicine Operating time Humans Referral and Consultation Laparoscopic cholecystectomy Service (business) business.industry General surgery Gold standard General Medicine Middle Aged Hospitals District medicine.disease Cholecystectomy Laparoscopic England Feasibility Studies Female Surgery Clinical Competence Medical emergency business |
| Zdroj: | Acta Chirurgica Belgica. 111:83-87 |
| ISSN: | 0001-5458 |
| Popis: | BACKGROUND Urgent laparoscopic cholecystectomy has become the gold standard for the treatment of acute gallstone disease. Since 2005 we have implemented a consultant-delivered urgent surgical service for this condition. In an attempt to increase the capacity of this service, we have recently introduced a new policy of also allowing selected trainee surgeons to perform urgent laparoscopic cholecystectomy with consultant assistance available on request. The purpose of this study was to audit our initial experience of this new service. METHODS Patients with acute gallstone disease had their surgery performed by a consultant or a trainee operating independently with consultant assistance available only on request. Allocation was based purely on surgeon availability. The clinical outcomes of 50 consecutive trainee and 50 consecutive consultant cases were compared and an attempt made to identify pre-operative predictors of technically-demanding trainee cases requiring consultant intervention. RESULTS The mean operating time of trainees was significantly longer than consultants (80 +/- 5 mins vs 55 +/- 4 mins, p |
| Databáze: | OpenAIRE |
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