• Am. J. Surg. · Feb 2020

    Multicenter Study Comparative Study Observational Study

    Resident involvement in minimally-invasive vs. open procedures.

    • Susanna W L de Geus, Alaina D Geary, Nkiruka Arinze, Sing Chau Ng, Cullen O Carter, Teviah E Sachs, Jason F Hall, Donald T Hess, Jennifer F Tseng, and PernarLuise I MLIMDepartment of Surgery, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA. Electronic address: luise.pernar@bmc.org..
    • Department of Surgery, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.
    • Am. J. Surg. 2020 Feb 1; 219 (2): 289-294.

    BackgroundThe objective of this study was to evaluate the impact of resident involvement on surgical outcomes in laparoscopic compared to open procedures.MethodsThe American College of Surgeons National Surgical Quality Improvement Program 2007-2012 was queried for open and laparoscopic ventral hernia repair (VHR), inguinal hernia repair (IHR), splenectomy, colectomy, or cholecystectomy (CCY). Multivariable regression analyses were performed to assess the impact of resident involvement on surgical outcomes.ResultsIn total, 88,337 VHR, 20,586 IHR, 59,254 colectomies, 3301 splenectomies, and 95,900 CCY were identified. Resident involvement was predictive for major complication during open VHR (AOR, 1.29; p < 0.001), but not during any other procedure. Resident participation significantly prolonged operative time for open, as well as laparoscopic VHR, IHR, colectomy, splenectomy, and CCY (all p < 0.01).ConclusionsThe results of this study suggest that resident participation has a similar impact on surgical outcomes during laparoscopic and open surgery, and is generally safe.Copyright © 2019 Elsevier Inc. All rights reserved.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…