Comparison of pediatric appendectomy outcomes between pediatric surgeons and general surgery residents

The Journal of Surgical Research
Ido MizrahiRaphael Udassin

Abstract

Appendectomy is the most common urgent procedure in children, and surgical outcomes may be affected by the surgeon's experience. This study's aim is to compare appendectomy outcomes performed by pediatric surgeons (PSs) and general surgery residents (GSRs). A retrospective review of all patients younger than 16y treated for appendicitis at two different campuses of the same institution during the years 2008-2009 was performed. Appendectomies were performed by PS in one campus and GSR in the other. Primary end points included postoperative morbidity and hospital length of stay. During the study period, 246 (61%) patients were operated by senior GSR (postgraduate year 5-7) versus 157 (39%) patients by PS. There was no significant difference in patients' characteristics at presentation to the emergency room and the rate of appendeceal perforation (11% versus 15%, P=0.32), and noninfectious appendicitis (5% versus 5% P=0.78) also was similar. Laparoscopic surgery was performed more commonly by GSR (16% versus 9%, P=0.02) with shorter operating time (54±1.5 versus 60±2.1, P=0.01). Interestingly, the emergency room to operating room time was shorter for GSR group (419±14 versus 529±24min, P<0.001). The hospital length of stay was sho...Continue Reading

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Citations

Jun 27, 2012·The Journal of Surgical Research·Roger H Kim, Quyen D Chu
Aug 25, 2015·Advances in Surgery·George Kasotakis, Gerard Doherty
Aug 8, 2014·Journal of Burn Care & Research : Official Publication of the American Burn Association·John Myers, Carlee Lehna
Dec 29, 2017·The Journal of Trauma and Acute Care Surgery·Maggie M HodgesDenis Bensard
Dec 17, 2014·Journal of Burn Care & Research : Official Publication of the American Burn Association·John MyersCarlee Lehna
Feb 15, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Rosalie A CarrEugene P Ceppa
Oct 5, 2020·Journal of Pediatric Surgery·Brittany L JohnsonMark V Mazziotti
Aug 29, 2020·Journal of Surgical Education·Claudio CanalValentin Neuhaus
Nov 23, 2018·The Journal of Surgical Research·Liisi RautavaVille Kytö

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