How Does Resident Participation Alter the Outcome of Surgery for Pectus Excavatum?
| Autor: | Roman M. Sydorak, Donald B. Shaul, Edward Y. Yoo, Qiaoling Chen, Holly Yong, Walter D. Vazquez, Stanley T. Lau |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Operative Time Nuss procedure Subspecialty Education 03 medical and health sciences 0302 clinical medicine Pectus excavatum Pediatric surgery medicine Humans Minimally Invasive Surgical Procedures 030212 general & internal medicine Child Retrospective Studies business.industry Internship and Residency Pediatric Surgeon Retrospective cohort study Length of Stay medicine.disease Surgery Treatment Outcome Funnel Chest General Surgery 030220 oncology & carcinogenesis Haller index Complication business |
| Zdroj: | Journal of Surgical Education. 77:150-157 |
| ISSN: | 1931-7204 |
| DOI: | 10.1016/j.jsurg.2019.07.020 |
| Popis: | General surgery resident participation in the operating room is critical in training the next generation of surgeons. As of yet, the impact of resident participation on outcomes of surgery for pectus excavatum and many complex subspecialty operations has not been well studied.A multi-institutional retrospective study of patients undergoing operative repair for pectus excavatum was performed. All relevant data were analyzed (IRB 11144).Two hundred and fourteen patients underwent operative correction (195 Nuss, 19 Ravitch). There were 185 males. Average age at repair was 14.7 years with a Haller index of 4.5. Average surgery time was 144 minutes (57-255) for the Nuss procedure and 263 minutes (141-373) for the Ravitch procedure. The presence of a second pediatric surgeon reduced the surgery time from 170 to 135 minutes (p0.01) and the presence of residents increased the time from 129 to 155 minutes (p0.01) for the Nuss procedure. One hundred and fifty patients had a single bar and 57 patients had 2 bars (28%). Average length of stay was 4.96 days (3-11). Long-term follow-up averaged 1737 days (42-3894). There were few complications and no difference in complication rate or length of stay between groups. Ninety nine percent of patients deemed the repair excellent and no patients required revision.Resident participation increases operative time, but with no demonstrable effect on hospital stay or long-term outcomes. Complication rates are low regardless of operating team composition. Thus, continuing to allow resident involvement, especially in subspecialty operations such as the Nuss and Ravitch procedures, may be worthwhile for resident education and surgical experience. |
| Databáze: | OpenAIRE |
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