Resident involvement in minimally-invasive vs. open procedures

The objective of this study was to evaluate the impact of resident involvement on surgical outcomes in laparoscopic compared to open procedures. The American College of Surgeons National Surgical Quality Improvement Program 2007–2012 was queried for open and laparoscopic ventral hernia repair (VHR),...

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Veröffentlicht in:	The American journal of surgery 2020-02, Vol.219 (2), p.289-294
Hauptverfasser:	de Geus, Susanna W.L., Geary, Alaina D., Arinze, Nkiruka, Ng, Sing Chau, Carter, Cullen O., Sachs, Teviah E., Hall, Jason F., Hess, Donald T., Tseng, Jennifer F., Pernar, Luise I.M.
Format:	Artikel
Sprache:	eng
Schlagworte:	Cholecystectomy Cholecystectomy - education Cholecystectomy - methods Cholecystectomy, Laparoscopic - education Cholecystectomy, Laparoscopic - methods Clinical Competence Colectomy Colectomy - education Colectomy - methods Curricula Databases, Factual Diabetes Female General Surgery - education Heart attacks Hernia Herniorrhaphy - education Herniorrhaphy - methods Humans Infections Inguinal hernia repair Internship and Residency - statistics & numerical data Laparoscopy Laparoscopy - education Laparoscopy - methods Laparotomy - adverse effects Laparotomy - methods Male Minimally invasive surgery Minimally Invasive Surgical Procedures - education Minimally Invasive Surgical Procedures - methods Multivariate Analysis Operative Time Participation Patient Safety - statistics & numerical data Patients Quality control Regression analysis Resident training Retrospective Studies Risk Assessment Splenectomy Studies Surgeons Surgery Surgical outcomes Treatment Outcome United States Variables Ventral hernia repair
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Beschreibung
Zusammenfassung:	The objective of this study was to evaluate the impact of resident involvement on surgical outcomes in laparoscopic compared to open procedures. The American College of Surgeons National Surgical Quality Improvement Program 2007–2012 was queried for open and laparoscopic ventral hernia repair (VHR), inguinal hernia repair (IHR), splenectomy, colectomy, or cholecystectomy (CCY). Multivariable regression analyses were performed to assess the impact of resident involvement on surgical outcomes. In total, 88,337 VHR, 20,586 IHR, 59,254 colectomies, 3301 splenectomies, and 95,900 CCY were identified. Resident involvement was predictive for major complication during open VHR (AOR, 1.29; p
ISSN:	0002-9610 1879-1883
DOI:	10.1016/j.amjsurg.2019.10.047