BACKGROUND: The number of cholecystectomies required to be fully educated as a surgeon has not yet been established. The European Association for Endoscopic Surgery, however, claims that inadequate experience is a risk factor for bile duct injury. The objective was to investigate surgical experience as a risk factor after laparoscopic cholecystectomy. METHODS: A prospective cohort study using the Danish Cholecystectomy Database to generate a cohort including adults treated with laparoscopic cholecystectomy from 2006 to 2011. The relationship between surgeons' level of experience and outcomes were evaluated. RESULTS: Surgical inexperience was not a risk factor for mortality and morbidity. The risk of conversion was however higher when the patients were operated by more experienced surgeons with an odds ratio of 1.80 (95% confidence interval, 1.51-2.14). Surgical inexperience was not a risk factor for bile duct injury. CONCLUSION: We found that low surgical experience did not by itself increase the risk of mortality or morbidity.
BACKGROUND: The number of cholecystectomies required to be fully educated as a surgeon has not yet been established. The European Association for Endoscopic Surgery, however, claims that inadequate experience is a risk factor for bile duct injury. The objective was to investigate surgical experience as a risk factor after laparoscopic cholecystectomy. METHODS: A prospective cohort study using the Danish Cholecystectomy Database to generate a cohort including adults treated with laparoscopic cholecystectomy from 2006 to 2011. The relationship between surgeons' level of experience and outcomes were evaluated. RESULTS: Surgical inexperience was not a risk factor for mortality and morbidity. The risk of conversion was however higher when the patients were operated by more experienced surgeons with an odds ratio of 1.80 (95% confidence interval, 1.51-2.14). Surgical inexperience was not a risk factor for bile duct injury. CONCLUSION: We found that low surgical experience did not by itself increase the risk of mortality or morbidity.
Authors: J C Bolger; M P Broe; M A Zarog; A Looney; K McKevitt; D Walsh; S Giri; C Peirce; J C Coffey Journal: Tech Coloproctol Date: 2017-09-19 Impact factor: 3.781
Authors: Szabolcs Ábrahám; Tibor Németh; Ria Benkő; Mária Matuz; Dániel Váczi; Illés Tóth; Aurél Ottlakán; László Andrási; János Tajti; Viktor Kovács; József Pieler; László Libor; Attila Paszt; Zsolt Simonka; György Lázár Journal: BMC Surg Date: 2021-03-20 Impact factor: 2.102