Literature DB >> 23627871

Supervised surgical training and its effect on the short-term outcome in laparoscopic colorectal surgery.

A Krishna1, M Russell, G L Richardson, M J F X Rickard, A Keshava.   

Abstract

AIM: Laparoscopic colorectal surgery requires supervised training. In this paper we examine the short-term outcome following a component-based training in laparoscopic colorectal surgery.
METHOD: Surgical outcome following laparoscopic colorectal resection was recorded on a prospective database. Patients were divided into three groups, including those performed by the fellows, those completed by the consultant and those completed by a combination of both. Analysis of data was carried out for all colorectal resections and the subgroup with colorectal cancer.
RESULTS: 511 operations were examined between June 2006 and January 2011. There was no statistically significant difference in operating time between fellows and consultants but it was significantly longer for procedures where consultants and fellows performed components. Conversion rate, postoperative morbidity, recovery and length of stay were similar for all three groups for the whole patient cohort and also the subgroup of cancer patients. In the cancer subgroup, there was no difference in the pathological stage in the three groups.
CONCLUSION: Closely supervised training in laparoscopic colorectal surgery is not associated with any adverse effect on the short-term outcome. Colorectal Disease
© 2013 The Association of Coloproctology of Great Britain and Ireland.

Entities:  

Keywords:  Laparoscopic colorectal training; colorectal cancer; laparoscopic colorectal surgery; laparoscopic outcomes

Mesh:

Year:  2013        PMID: 23627871     DOI: 10.1111/codi.12266

Source DB:  PubMed          Journal:  Colorectal Dis        ISSN: 1462-8910            Impact factor:   3.788


  4 in total

1.  The growing discrepancy between resident training in colonic surgery and the rising number of general surgery graduates.

Authors:  Samuel A Käser; Andreas Rickenbacher; Daniela Cabalzar-Wondberg; Marcel Schneider; Daniel Dietrich; Benjamin Misselwitz; Pierre-Alain Clavien; Matthias Turina
Journal:  Int J Colorectal Dis       Date:  2018-12-06       Impact factor: 2.571

2.  Three steps and a join: a simple guide to right- and left-sided medial to lateral laparoscopic colorectal surgery.

Authors:  M J F X Rickard; A Keshava; J W T Toh
Journal:  Tech Coloproctol       Date:  2017-09-04       Impact factor: 3.781

3.  Robotic-assisted total mesorectal excision (TME) for rectal cancer results in a significantly higher quality of TME specimen compared to the laparoscopic approach-report of a single-center experience.

Authors:  Heiko Aselmann; Jan-Niclas Kersebaum; Alexander Bernsmeier; Jan Henrik Beckmann; Thorben Möller; Jan Hendrik Egberts; Clemens Schafmayer; Christoph Röcken; Thomas Becker
Journal:  Int J Colorectal Dis       Date:  2018-07-04       Impact factor: 2.571

4.  Impact of surgeon and hospital factors on length of stay after colorectal surgery systematic review.

Authors:  Zubair Bayat; Keegan Guidolin; Basheer Elsolh; Charmaine De Castro; Erin Kennedy; Anand Govindarajan
Journal:  BJS Open       Date:  2022-09-02
  4 in total

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