Surgical teaching does not increase the risk of intraoperative adverse events

International Journal of Colorectal Disease
Basile PacheDieter Hahnloser

Abstract

Training and teaching are cornerstones in developing surgical skills. The present study aimed to compare intraoperative outcomes of colonic resections among fellows, consultants, and supervised trainees. Data of consecutive colonic resections including demographics, surgical details, and intraoperative outcomes were recorded in a prospectively maintained institutional database. All procedures were standardized and divided in three groups according to the main surgeons experience (fellow or consultant) and whether the procedure was taught. After weighting by inverse treatment probability, intraoperative adverse events including reactive conversion, blood loss, and operating time were compared between these three groups. Six hundred sixty-four colectomies were analyzed between January 2014 and October 2017. Among them, 289 (43.5%) were taught. After weighted propensity score analysis, there was no difference between the three groups (fellow taken as reference), for intraoperative adverse event rate (odd ratio (OR) consultant 1.448 (IQR 0.728-2.878), p = 0.282; OR teaching 0.689 (IQR 0.295-1.609), p = 0.381), operating time (beta coefficient 0.76 (- 21.91-23.42), p = 0.947; beta coefficient - 10.79 (- 28.34-6.75), p = 0.919), conv...Continue Reading

References

Feb 1, 1991·American Journal of Infection Control·T G EmoriR P Gaynes
Mar 1, 1996·World Journal of Surgery·P ReissmanS D Wexner
Oct 25, 2006·Annals of Surgery·Daniel J RiskinThomas M Krummel
Jul 31, 2007·The American Surgeon·Preston R MillerJ Wayne Meredith
Mar 6, 2008·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·D W BorowskiUNKNOWN Northern Region Colorectal Cancer Audit Group (NORCCAG)
Jun 4, 2008·Langenbeck's Archives of Surgery·Markus K MüllerPierre-Alain Clavien
Apr 28, 2009·Current Opinion in Critical Care·Peter Studer, Daniel Inderbitzin
Sep 24, 2009·JAMA : the Journal of the American Medical Association·Heather YeoLeslie A Curry
May 18, 2011·Archives of Surgery·Elizabeth A Stuebing, Thomas J Miner
May 29, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·M HübnerB G Wolff
Oct 12, 2012·World Journal of Surgery·U O GustafssonUNKNOWN International Association for Surgical Metabolism and Nutrition (IASMEN)
Oct 27, 2012·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·U O GustafssonUNKNOWN Enhanced Recovery After Surgery Society
Feb 2, 2013·International Archives of Occupational and Environmental Health·Annika RiegerMatthias Weippert
Mar 29, 2014·World Journal of Surgery·Didier RoulinMartin Hübner
Jul 12, 2014·International Journal of Surgery·Stefan RissAnton Stift
Feb 11, 2015·World Journal of Surgery·Rachel RosenthalSalome Dell-Kuster
Sep 16, 2015·World Journal of Urology·Denise M D Özdemir-van BrunschotMichiel C Warlé
Nov 3, 2015·International Journal of Surgery·Martin HübnerNicolas Demartines
Nov 18, 2015·Annals of Surgical Treatment and Research·Sanghee KangChong Suk Kim
May 20, 2016·World Journal of Surgery·Anne KummerMartin Hübner
Dec 12, 2017·Gastroenterology Research and Practice·Caroline GronnierMartin Hübner
Mar 4, 2018·Journal of Surgical Education·Fabian GrassMartin Hübner

❮ Previous
Next ❯

Citations

Jul 8, 2019·ANZ Journal of Surgery·Zhen Hao AngPhilip Truskett
Nov 9, 2019·Langenbeck's Archives of Surgery·Oliver GimmMarco Raffaelli
Mar 15, 2019·Surgical Endoscopy·Fabian GrassDavid W Larson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.