Training in laparoscopic colorectal surgery - experience of training in a specialist unit.

Annals of the Royal College of Surgeons of England
Alec H EngledowRoger W Motson

Abstract

Laparoscopic colorectal surgery, although technically demanding, is an increasingly desirable skill for coloproctologists. We believe that trainees with adequate supervision from an experienced trainer may perform these procedures safely with good outcome. Surgical logbooks of two senior trainees were reviewed over a 2-year period. A case note analysis was then undertaken. Patient data were recorded with regards to age, sex, operation type, American Society of Anesthesia (ASA) grade, conversion, length of hospital stay and complications. Lymph node yield, resection margins and grade of total mesorectal excision were recorded in oncological procedures. Over the 2-year period, trainees were involved in 140 resections (age range, 23-88 years; ASA grades I-III). Seventy patients were male. Trainees were first assistant in at least 20 cases prior to undertaking the procedures themselves. Trainees performed a total of 71 operations. Median hospital stay was 7 days (range, 2-48 days). There were three conversions. Anastomotic leaks developed in two patients, one requiring a laparotomy. One patient developed small bowel obstruction secondary to a port site hernia, which was repaired laparoscopically. There was one postoperative death. ...Continue Reading

References

Nov 1, 1991·Diseases of the Colon and Rectum·R T Schlinkert
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Apr 20, 2001·Journal of the National Cancer Institute·H NelsonUNKNOWN National Cancer Institute Expert Panel
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May 14, 2004·The New England Journal of Medicine·UNKNOWN Clinical Outcomes of Surgical Therapy Study GroupDavid Ota
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Sep 26, 2007·Annals of Surgery·James FleshmanUNKNOWN Clinical Outcomes of Surgical Therapy Study Group

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Citations

Jun 22, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Scott R SteeleUNKNOWN American Society of Colon and Rectal Surgeons’ Young Surgeons Committee
May 2, 2014·Journal of the Royal Society of Medicine·Manish Chand, Tahseen Qureshi
May 9, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Claire N BrownGlyn G Jamieson
Apr 6, 2021·Clinics in Colon and Rectal Surgery·Heidi Paine, Manish Chand

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