Impact of tutorial assistance in laparoscopic sigmoidectomy for acute recurrent diverticulitis

Purpose Adequate training and close supervision by an experienced surgeon are crucial to assure the patient safety during laparoscopic training. This study evaluated the impact of tutorial assistance on the duration of surgery and postoperative complications after laparoscopic sigmoidectomy. Methods...

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Veröffentlicht in:Surgery today (Tokyo, Japan) Japan), 2014-10, Vol.44 (10), p.1869-1878
Hauptverfasser: Hoffmann, Henry, Dell-Kuster, Salome, Genstorfer, Jörg, Heizmann, Oleg, Kettelhack, Christoph, Langer, Igor, Oertli, Daniel, Rosenthal, Rachel
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Sprache:eng
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Zusammenfassung:Purpose Adequate training and close supervision by an experienced surgeon are crucial to assure the patient safety during laparoscopic training. This study evaluated the impact of tutorial assistance on the duration of surgery and postoperative complications after laparoscopic sigmoidectomy. Methods The data from 235 patients undergoing laparoscopic sigmoidectomy were collected. Operating surgeons were classified as either residents/registrars (group A, tutorial assistance) or consultants operating autonomously (group B). Groups were compared concerning the duration of surgery and in-hospital complications using a multivariable regression model accounting for the most relevant confounders. Results The median duration of the operation in group A ( n  = 75) was 221 min, and that in group B ( n  = 160) 189 min ( p  
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-013-0790-3