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Sökning: WFRF:(Di Lauro V) > Gallo G > Göteborgs universitet > Laparoscopic append...

  • Ussia, A. (författare)

Laparoscopic appendectomy as an index procedure for surgical trainees: clinical outcomes and learning curve

  • Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

  • 2021-01-04
  • Springer Science and Business Media LLC,2021

Nummerbeteckningar

  • LIBRIS-ID:oai:gup.ub.gu.se/301861
  • https://gup.ub.gu.se/publication/301861URI
  • https://doi.org/10.1007/s13304-020-00950-zDOI

Kompletterande språkuppgifter

  • Språk:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Surgical training is essential to maintain safety standards in healthcare. The aim of this study is to evaluate learning curves and short-term postoperative outcomes of laparoscopic appendectomy (LA) performed by trainees (TRN) and attendings (ATT). The present study included the medical records of patients with acute appendicitis who underwent a fully LA in our department between January 2013 and December 2018. Cases were divided into trainees (TRN and ATT groups based on the experience of the operating surgeon. The primary outcome measures were 30-day morbidity and mortality. Preoperative patients' clinical characteristics, intraoperative findings, operative times, and postoperative hospitalization were compared. Operative times were used to extrapolate learning curves and evaluate the effects of changes in faculty using CUSUM charts. A propensity score matching analysis was performed to reduce differences between cohorts regarding both preoperative characteristics and intraoperative findings. A total of 1173 patients undergoing LA for acute appendicitis were included, of whom 521 (45%) in the TRN group and 652 (55%) in the ATT group. No significant differences were found between the two groups in terms of complication rates, operative times and length of hospital stay. However, CUSUM chart analysis showed decreased operating times in the TRN group. Operative times improved more quickly for advanced cases. The results of this study indicate that LA can be performed by trainees without detrimental effects on clinical outcomes, procedural safety, and operative times. However, the learning curve is longer than previously acknowledged.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Vaccari, S. (författare)
  • Gallo, G. (författare)
  • Grossi, U. (författare)
  • Ussia, R. (författare)
  • Sartarelli, L. (författare)
  • Minghetti, M. (författare)
  • Lauro, A. (författare)
  • Barbieri, Paolo NicolaGothenburg University,Göteborgs universitet,Centrum för hälsoekonomi (CHEGU),Centre for Health Economics(Swepub:gu)xbarpa (författare)
  • Di Saverio, S. (författare)
  • Cervellera, M. (författare)
  • Tonini, V. (författare)
  • Göteborgs universitetCentrum för hälsoekonomi (CHEGU) (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Updates in Surgery: Springer Science and Business Media LLC73, s. 187-1952038-131X2038-3312

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