TY - JOUR
T1 - Prospective Analysis of Laparoscopic Cholecystectomies Based on Postgraduate Resident Level
AU - Parikh, Sahil P.
AU - Szczech, Emily C.
AU - Castillo, Roberto C.
AU - Moskowitz, Robert
AU - Zuberi, Jamshed
AU - Sori, Alan
AU - Elsawy, Osama
N1 - Publisher Copyright:
Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Background:Few studies have attempted to ascertain the safety of laparoscopic cholecystectomies (LC) based on resident postgraduate year. We hypothesize that there is no difference in complications based on resident level in LC.Methods:We prospectively gathered data from 200 LC. Residents were classified as surgeon chief (SC), surgeon junior (SJ), or teaching assistant (TA/SJ). Outcomes included surgical complications and operative time based on resident level or ambulatory status.Results:Average operating time was 65.17, 69.38, and 63.91 minutes for SC, SJ, and TA/SJ, respectively. Average operative time in the elective group was 62 versus 70.67 minutes in the emergent group (P=0.037). Five, 2, and 6 major complications occurred in the TA/SJ, and SC groups, respectively, (P=0.937). Major complications occurred in 9 of 97 emergent and 4 of 70 elective cases (P=0.396).Conclusion:With respect to time and morbidity in LC, we found all level of residents to be safe.
AB - Background:Few studies have attempted to ascertain the safety of laparoscopic cholecystectomies (LC) based on resident postgraduate year. We hypothesize that there is no difference in complications based on resident level in LC.Methods:We prospectively gathered data from 200 LC. Residents were classified as surgeon chief (SC), surgeon junior (SJ), or teaching assistant (TA/SJ). Outcomes included surgical complications and operative time based on resident level or ambulatory status.Results:Average operating time was 65.17, 69.38, and 63.91 minutes for SC, SJ, and TA/SJ, respectively. Average operative time in the elective group was 62 versus 70.67 minutes in the emergent group (P=0.037). Five, 2, and 6 major complications occurred in the TA/SJ, and SC groups, respectively, (P=0.937). Major complications occurred in 9 of 97 emergent and 4 of 70 elective cases (P=0.396).Conclusion:With respect to time and morbidity in LC, we found all level of residents to be safe.
KW - cholecystectomy
KW - laparoscopy
KW - minimally invasive
KW - surgical education
UR - http://www.scopus.com/inward/record.url?scp=84983147517&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84983147517&partnerID=8YFLogxK
U2 - 10.1097/SLE.0000000000000208
DO - 10.1097/SLE.0000000000000208
M3 - Article
C2 - 26632921
AN - SCOPUS:84983147517
SN - 1530-4515
VL - 25
SP - 487
EP - 491
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
IS - 6
ER -