Training periods with experts improve results in colorectal laparoscopic surgery
| العنوان: | Training periods with experts improve results in colorectal laparoscopic surgery |
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| المؤلفون: | Javier Suárez-Alecha, Cruz Zazpe-Ripa, Javier Herrera-Cabezón, José Miguel Lera-Tricas, Ana Calvo-Benito, Coro Miranda-Murúa, Francisco Vicente-García, Enrique Balén-Rivera |
| المصدر: | Cirugía Española (English Edition). 87:13-19 |
| بيانات النشر: | Elsevier BV, 2010. |
| سنة النشر: | 2010 |
| مصطلحات موضوعية: | Laparoscopic surgery, medicine.medical_specialty, Colon, medicine.medical_treatment, Rectum, Sigmoidectomy, Colon surgery, medicine, Humans, Laparoscopy, Digestive System Surgical Procedures, Retrospective Studies, medicine.diagnostic_test, business.industry, General surgery, General Engineering, Cancer, Retrospective cohort study, medicine.disease, Colorectal surgery, Surgery, Treatment Outcome, medicine.anatomical_structure, business |
| الوصف: | To analyse the effects of training in elective colorectal laparoscopic surgery with a minimum 6 months follow up to assess early and delayed complications, and comparing the first 40 cases in the 1st Period (P-1: 1996-2002) with the 100 cases in the 2nd Period (P-2: 2003-2008). One of the surgeons had two training courses between P-1 and P-2.A total of 66 colorectal resections due to cancer were performed and 74 operations for benign disease. The cases of malignant diseases increased between P-1 and P-2 (P0.001). (Odds-Ratio=0.16).There number of complex cases increased between P-1 and P-2 (Anterior resection-amputation, left hemicolectomy, total colectomy, rectopexy) vs. Others (Sigmoidectomy, right resections) (P0.05), but the mean duration of the operations was reduced by 29 minutes P0.01). There were 24% conversions, with no change in P-2 (P=0.85). Surgical mortality at 3 months (1.4%) showed no differences (P=0.49). The total complications rate (31%) was significantly lower in P-2 (P=0.001), because medical complications (P=0.05), the more serious surgical complications (with reintervention) (P=0.05) and wound infections (P=0.0001) were lower. There was no change in the other surgical complications (P=0.61). The overall mean stay was 7.8 days (3-36) (median=6 days), with no differences between P-1 and P-2 (P=0.165). Conversion significantly lengthened the mean hospital stay (P=0.015) (from 7.2+/-5 days to 10.1+/-7 days), but there was no increase in complications (P=0.31).Training in colorectal laparoscopy and training periods with experts improve results (duration, complications, more complex surgery). Conversions did not decrease with experience and the hospital stays lengthened, but they were not associated with more complications. |
| تدمد: | 2173-5077 1996-2002 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::75067cbeb32491a52163e78206fe610f https://doi.org/10.1016/s2173-5077(10)70159-9 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....75067cbeb32491a52163e78206fe610f |
| قاعدة البيانات: | OpenAIRE |
Full Text via ClinicalKey | تدمد: | 21735077 19962002 |
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