دورية أكاديمية
Is there a difference in laparoscopic cholecystectomy performed in a teaching hospital or a general hospital in The Netherlands?
| العنوان: | Is there a difference in laparoscopic cholecystectomy performed in a teaching hospital or a general hospital in The Netherlands? |
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| المؤلفون: | Corten BJGA; a Department of Surgery , VieCuri Medical Centre , Venlo , The Netherlands., Leijtens JWA; b Department of Surgery , Laurentius Medical Centre , Roermond , The Netherlands., Janssen L; c Department of Epidemiology , VieCuri Medical Centre , Venlo , The Netherlands., Konsten JLM; a Department of Surgery , VieCuri Medical Centre , Venlo , The Netherlands. |
| المصدر: | Acta chirurgica Belgica [Acta Chir Belg] 2019 Aug; Vol. 119 (4), pp. 236-242. Date of Electronic Publication: 2018 Sep 26. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 0370571 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0001-5458 (Print) Linking ISSN: 00015458 NLM ISO Abbreviation: Acta Chir Belg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2016- : London : Taylor & Francis Original Publication: Bruxelles : Acta Medica Belgica |
| مواضيع طبية MeSH: | Hospitals, General* , Hospitals, Teaching*, Postoperative Complications/*epidemiology, Cholecystectomy, Laparoscopic ; Cohort Studies ; Female ; Humans ; Male ; Middle Aged ; Netherlands ; Prospective Studies |
| مستخلص: | Introduction: Laparoscopic cholecystectomy may have a complicated course with severe complications such as bile duct injury. Studies in other countries than the Netherlands report ambivalent results regarding the influence of a residency program on patient safety, efficacy and financial consequences. This study aims to determine whether there is a difference between laparoscopic cholecystectomy performed in a teaching hospital or a non-teaching general hospital in Dutch clinics. Materials and methods: A prospective cohort study was performed to examine the safety of laparoscopic cholecystectomies in a teaching hospital with a residency program and a general hospital without surgical residents. All consecutive cholecystectomies in these two hospitals between September 2014 and March 2015 were included. Patient characteristics, operative procedure, level of experience, operation time, per- and postoperative complications, mortality, length of hospital stay, re-admittance and conversions to laparotomy were analyzed. Results: A total of 294 consecutive cholecystectomies were performed in both hospitals. Cholecystectomies performed in the teaching hospital took an average of 25 min longer to complete compared with a non-residency setting. Both the number of conversions and the number of re-admissions were not significantly different between both clinics. The residency program showed smaller peroperative liver lesions along with more postoperative complications, with most complications in patients that required a conversion. Discussion: Current practice where residents perform supervised cholecystectomies should not be discouraged. We believe that is safe and lead to an acceptable increase in operation time. |
| فهرسة مساهمة: | Keywords: Laparoscopic cholecystectomy; cholecystectomy; residency program; surgical residents; teaching hospital |
| تواريخ الأحداث: | Date Created: 20180927 Date Completed: 20200109 Latest Revision: 20200109 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1080/00015458.2018.1502928 |
| PMID: | 30253694 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 0001-5458 |
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| DOI: | 10.1080/00015458.2018.1502928 |