Laparoscopic cholecystectomy: a prospective cohort study assessing the impact of grade of operating surgeon on operative time and 30-day morbidity

Annals of the Royal College of Surgeons of England
H TafazalM Hanif

Abstract

Introduction There is an increasing trend towards day case surgery for uncomplicated gallstone disease. The challenges of maximising training opportunities are well recognised by surgical trainees and the need to demonstrate timely progression of competencies is essential. Laparoscopic cholecystectomy provides the potential for excellent trainee learning opportunities. Our study builds upon previous work by assessing whether measures of outcome are still affected when cases are stratified based on procedural difficulty. Material and methods A prospective cohort study of all laparoscopic cholecystectomies conducted at a district general hospital between 2009 and 2014, performed under the care of a single consultant. The operative difficulty was determined using the Cuschieri classification. The primary endpoint was duration of operation. Secondary endpoints included length of hospital stay, delayed discharge rate and 30-day morbidity. Results A total of 266 laparoscopic cholecystectomies were performed during the study period. Mean operative time for all consultant-led cases was 52.5 minutes compared with 51.4 minutes for trainees (P = 0.67 unpaired t-test). When cases were stratified for difficulty, consultant-led cases were on...Continue Reading

References

Aug 1, 1992·Archives of Surgery·N J SoperS W Ashley
Jan 1, 1990·Surgical Endoscopy·A Cuschier, J Terblanche
Dec 1, 1994·Journal of Laparoendoscopic Surgery·B CagirB L Herz
May 16, 1998·Journal of the American College of Surgeons·J S WuN J Soper
Feb 26, 1999·American Journal of Surgery·M Bridges, D L Diamond
Nov 18, 2004·The British Journal of Surgery·R AggarwalA Darzi
Aug 18, 2005·American Journal of Surgery·Julian HanceAra Darzi
Oct 18, 2005·American Journal of Surgery·Kamal M F ItaniShukri F Khuri
Apr 20, 2010·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·V KanakalaK Seymour
Jul 8, 2010·The Journal of Surgical Research·Christine S HwangEdward J Alfrey
Mar 15, 2011·Journal of the American College of Surgeons·Mehul V RavalClifford Y Ko
Apr 16, 2011·Journal of the American College of Surgeons·Warren H TsengSteven L Chen
Mar 1, 2012·Journal of Surgical Education·Dominic PapandriaFizan Abdullah
Mar 27, 2012·The Journal of Surgical Research·Hadiza S KazaureJulie A Sosa
Apr 6, 2012·Surgical Endoscopy·M von Strauss Und TorneyI Langer
May 15, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Pankaj GargGeetha R Menon
Dec 5, 2012·International Journal of Surgery·Andrew D Beggs, Paul R S Thomas
Nov 8, 2013·Surgical Endoscopy·Simon J ColeDanilo Miskovic
Nov 12, 2013·Journal of Surgical Education·Alvaro CastilloRobert A Kozol

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Citations

Feb 16, 2021·The Journal of Surgical Research·Julia RiccardiZiad C Sifri

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