Teaching colorectal surgery in the laparoscopic era; Is it safe?

Verheijen, Paul M., Ven, Anthony W.H. vd, Davids, Paul H.P., Clark, David A. and Prank, Apollo (2010) Teaching colorectal surgery in the laparoscopic era; Is it safe?. Journal of Surgical Education, 67 4: 217-221. doi:10.1016/j.jsurg.2010.06.009

Author Verheijen, Paul M.
Ven, Anthony W.H. vd
Davids, Paul H.P.
Clark, David A.
Prank, Apollo
Title Teaching colorectal surgery in the laparoscopic era; Is it safe?
Journal name Journal of Surgical Education   Check publisher's open access policy
ISSN 1931-7204
Publication date 2010-07
Sub-type Article (original research)
DOI 10.1016/j.jsurg.2010.06.009
Volume 67
Issue 4
Start page 217
End page 221
Total pages 5
Place of publication Philadelphia, PA, United States
Publisher Elsevier
Collection year 2011
Language eng
Formatted abstract
Objectives With the introduction of laparoscopic colorectal surgery, the question is raised as to whether laparoscopic colectomies can safely be performed by surgical registrars, when supervised by experienced laparoscopic surgeons. In this study we have compared surgical outcomes of surgical registrars, fellows, and staff surgeons in a Dutch teaching hospital.

Design, Setting, and Participants
Using a prospective database, the surgical outcomes of staff surgeons, fellows, and surgical registrars were compared. Pre- and postoperative complications were evaluated, including anastomotic failure. The percentage of reintervention, mortality, readmission, total hospital stay, and operating time were evaluated. The quality of the surgical resection was assessed by comparing the number of resected lymph nodes in malignant cases and the percentage of patients with adequate resection margins.

Results Analysis was performed in 420 patients. The majority of surgery was performed by staff surgeons. Outcomes of surgery for staff surgeons, fellows, and surgical registrars were comparable with respect to complications, percentage of conversions, and oncological adequacy.

Comprehensive training as a colorectal surgeon should include competence in laparoscopic resections. Our results show that laparoscopic colorectal surgery can safely be performed by surgical registrars with no increase of the number of conversions to laparotomy or the number of complications. © 2010 Association of Program Directors in Surgery.
Keyword Laparoscopy
Surgical registrar
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ
Additional Notes Published under Original Reports

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Medicine Publications
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Created: Sun, 03 Oct 2010, 00:04:22 EST