Pancreatic surgery is a safe teaching model for tutoring residents in the setting of a high-volume academic hospital: a retrospective analysis of surgical and pathological outcomes
Academic hospitals must train future surgeons, but whether residents could negatively affect the outcomes of major procedures is a matter of concern. The aim of this study is to assess if pancreatic surgery is a safe teaching model. Outcomes of 1230 major pancreatic resections performed at a high-vo...
Gespeichert in:
| Veröffentlicht in: | HPB (Oxford, England) England), 2021-04, Vol.23 (4), p.520-527 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 527 |
|---|---|
| container_issue | 4 |
| container_start_page | 520 |
| container_title | HPB (Oxford, England) |
| container_volume | 23 |
| creator | Salvia, Roberto Andrianello, Stefano Ciprani, Debora Deiro, Giacomo Malleo, Giuseppe Paiella, Salvatore Casetti, Luca Landoni, Luca Tuveri, Massimiliano Esposito, Alessandro Marchegiani, Giovanni Bassi, Claudio |
| description | Academic hospitals must train future surgeons, but whether residents could negatively affect the outcomes of major procedures is a matter of concern. The aim of this study is to assess if pancreatic surgery is a safe teaching model.
Outcomes of 1230 major pancreatic resections performed at a high-volume pancreatic teaching hospital between 2015 and 2018 were compared according to the first surgeon type, attending vs resident.
Residents performed a selection of 132 (16%) pancreaticoduodenectomies (PD) and 46 (11%) distal pancreatectomies (DP). For PD, pancreatic fistula (25% vs 0, p |
| doi_str_mv | 10.1016/j.hpb.2020.08.007 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2438678711</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1365182X20311205</els_id><sourcerecordid>2438678711</sourcerecordid><originalsourceid>FETCH-LOGICAL-c396t-1d98bdc9189d57ceca0ead9468de81000e0f0f8f089f51e47a520fecb2e4f83b3</originalsourceid><addsrcrecordid>eNp9kc2u1SAUhRuj8f7oAzgxDJ20bvoLOjI36jW5iQ40cUYobE45oaUCPcl5Lx9QmnN16AjYfGttNqsoXlGoKND-7bGa1rGqoYYKWAUwPCmuaTsMZd0N7dO8b_qupKz-eVXcxHgEqLOMPy-umpp1vOXNdfH7m1xUQJmsInELBwxnYiORJEqDJKFUk10OZPYaHTE-kLQlH_ZSwGg1LikSu5A0IYmY0n7hTZZP9jCVJ--2GYlUUuOcG0w-rjZJ9y4DAVPIR1TJnjKySHeOuXEW78-wSrpc1GSVafLOXwp-S8rPGF8Uz4x0EV8-rrfFj08fv9_dlw9fP3-5-_BQqob3qaSas1ErThnX3aBQSUCpedszjYwCAIIBwwwwbjqK7SC7GgyqscbWsGZsbos3F981-F8bxiRmGxU6Jxf0WxR127B-YAOlGaUXVOWpYkAj1mBnGc6CgtjDEkeRwxJ7WAKYyGFlzetH-22cUf9T_E0nA-8vAOYhTxaDiMriolDbkD9OaG__Y_8HC0GqTQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2438678711</pqid></control><display><type>article</type><title>Pancreatic surgery is a safe teaching model for tutoring residents in the setting of a high-volume academic hospital: a retrospective analysis of surgical and pathological outcomes</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Salvia, Roberto ; Andrianello, Stefano ; Ciprani, Debora ; Deiro, Giacomo ; Malleo, Giuseppe ; Paiella, Salvatore ; Casetti, Luca ; Landoni, Luca ; Tuveri, Massimiliano ; Esposito, Alessandro ; Marchegiani, Giovanni ; Bassi, Claudio</creator><creatorcontrib>Salvia, Roberto ; Andrianello, Stefano ; Ciprani, Debora ; Deiro, Giacomo ; Malleo, Giuseppe ; Paiella, Salvatore ; Casetti, Luca ; Landoni, Luca ; Tuveri, Massimiliano ; Esposito, Alessandro ; Marchegiani, Giovanni ; Bassi, Claudio</creatorcontrib><description>Academic hospitals must train future surgeons, but whether residents could negatively affect the outcomes of major procedures is a matter of concern. The aim of this study is to assess if pancreatic surgery is a safe teaching model.
Outcomes of 1230 major pancreatic resections performed at a high-volume pancreatic teaching hospital between 2015 and 2018 were compared according to the first surgeon type, attending vs resident.
Residents performed a selection of 132 (16%) pancreaticoduodenectomies (PD) and 46 (11%) distal pancreatectomies (DP). For PD, pancreatic fistula (25% vs 0, p < 0.001), biliary fistula (7.1% vs 3.5%, p = 0.04) and operative time (400 vs 390 min, p < 0.001) were lower for residents but post-pancreatectomy hemorrhage was higher (20.5% vs 13% p = 0.024). For DP, pancreatic fistula rate was lower for residents (31.7% vs 17.5% p = 0.046). There was no difference in terms of lymph nodes retrieval both for PDs and DPs, while the R1 resections were more frequent among PDs performed by attending surgeons (31.5% vs 15.7%, p = 0.023).
The active participation of residents does not negatively affect outcomes of major pancreatic resections in a high-volume center. By means of case selection and continuous tutoring, pancreatic surgery represents a safe and valid teaching model.</description><identifier>ISSN: 1365-182X</identifier><identifier>EISSN: 1477-2574</identifier><identifier>DOI: 10.1016/j.hpb.2020.08.007</identifier><identifier>PMID: 32859493</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Hospitals, High-Volume ; Humans ; Pancreatectomy - adverse effects ; Pancreatic Fistula ; Pancreatic Neoplasms - surgery ; Pancreaticoduodenectomy - adverse effects ; Postoperative Complications ; Retrospective Studies</subject><ispartof>HPB (Oxford, England), 2021-04, Vol.23 (4), p.520-527</ispartof><rights>2020</rights><rights>Copyright © 2020. Published by Elsevier Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-1d98bdc9189d57ceca0ead9468de81000e0f0f8f089f51e47a520fecb2e4f83b3</citedby><cites>FETCH-LOGICAL-c396t-1d98bdc9189d57ceca0ead9468de81000e0f0f8f089f51e47a520fecb2e4f83b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32859493$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Salvia, Roberto</creatorcontrib><creatorcontrib>Andrianello, Stefano</creatorcontrib><creatorcontrib>Ciprani, Debora</creatorcontrib><creatorcontrib>Deiro, Giacomo</creatorcontrib><creatorcontrib>Malleo, Giuseppe</creatorcontrib><creatorcontrib>Paiella, Salvatore</creatorcontrib><creatorcontrib>Casetti, Luca</creatorcontrib><creatorcontrib>Landoni, Luca</creatorcontrib><creatorcontrib>Tuveri, Massimiliano</creatorcontrib><creatorcontrib>Esposito, Alessandro</creatorcontrib><creatorcontrib>Marchegiani, Giovanni</creatorcontrib><creatorcontrib>Bassi, Claudio</creatorcontrib><title>Pancreatic surgery is a safe teaching model for tutoring residents in the setting of a high-volume academic hospital: a retrospective analysis of surgical and pathological outcomes</title><title>HPB (Oxford, England)</title><addtitle>HPB (Oxford)</addtitle><description>Academic hospitals must train future surgeons, but whether residents could negatively affect the outcomes of major procedures is a matter of concern. The aim of this study is to assess if pancreatic surgery is a safe teaching model.
Outcomes of 1230 major pancreatic resections performed at a high-volume pancreatic teaching hospital between 2015 and 2018 were compared according to the first surgeon type, attending vs resident.
Residents performed a selection of 132 (16%) pancreaticoduodenectomies (PD) and 46 (11%) distal pancreatectomies (DP). For PD, pancreatic fistula (25% vs 0, p < 0.001), biliary fistula (7.1% vs 3.5%, p = 0.04) and operative time (400 vs 390 min, p < 0.001) were lower for residents but post-pancreatectomy hemorrhage was higher (20.5% vs 13% p = 0.024). For DP, pancreatic fistula rate was lower for residents (31.7% vs 17.5% p = 0.046). There was no difference in terms of lymph nodes retrieval both for PDs and DPs, while the R1 resections were more frequent among PDs performed by attending surgeons (31.5% vs 15.7%, p = 0.023).
The active participation of residents does not negatively affect outcomes of major pancreatic resections in a high-volume center. By means of case selection and continuous tutoring, pancreatic surgery represents a safe and valid teaching model.</description><subject>Hospitals, High-Volume</subject><subject>Humans</subject><subject>Pancreatectomy - adverse effects</subject><subject>Pancreatic Fistula</subject><subject>Pancreatic Neoplasms - surgery</subject><subject>Pancreaticoduodenectomy - adverse effects</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><issn>1365-182X</issn><issn>1477-2574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc2u1SAUhRuj8f7oAzgxDJ20bvoLOjI36jW5iQ40cUYobE45oaUCPcl5Lx9QmnN16AjYfGttNqsoXlGoKND-7bGa1rGqoYYKWAUwPCmuaTsMZd0N7dO8b_qupKz-eVXcxHgEqLOMPy-umpp1vOXNdfH7m1xUQJmsInELBwxnYiORJEqDJKFUk10OZPYaHTE-kLQlH_ZSwGg1LikSu5A0IYmY0n7hTZZP9jCVJ--2GYlUUuOcG0w-rjZJ9y4DAVPIR1TJnjKySHeOuXEW78-wSrpc1GSVafLOXwp-S8rPGF8Uz4x0EV8-rrfFj08fv9_dlw9fP3-5-_BQqob3qaSas1ErThnX3aBQSUCpedszjYwCAIIBwwwwbjqK7SC7GgyqscbWsGZsbos3F981-F8bxiRmGxU6Jxf0WxR127B-YAOlGaUXVOWpYkAj1mBnGc6CgtjDEkeRwxJ7WAKYyGFlzetH-22cUf9T_E0nA-8vAOYhTxaDiMriolDbkD9OaG__Y_8HC0GqTQ</recordid><startdate>202104</startdate><enddate>202104</enddate><creator>Salvia, Roberto</creator><creator>Andrianello, Stefano</creator><creator>Ciprani, Debora</creator><creator>Deiro, Giacomo</creator><creator>Malleo, Giuseppe</creator><creator>Paiella, Salvatore</creator><creator>Casetti, Luca</creator><creator>Landoni, Luca</creator><creator>Tuveri, Massimiliano</creator><creator>Esposito, Alessandro</creator><creator>Marchegiani, Giovanni</creator><creator>Bassi, Claudio</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202104</creationdate><title>Pancreatic surgery is a safe teaching model for tutoring residents in the setting of a high-volume academic hospital: a retrospective analysis of surgical and pathological outcomes</title><author>Salvia, Roberto ; Andrianello, Stefano ; Ciprani, Debora ; Deiro, Giacomo ; Malleo, Giuseppe ; Paiella, Salvatore ; Casetti, Luca ; Landoni, Luca ; Tuveri, Massimiliano ; Esposito, Alessandro ; Marchegiani, Giovanni ; Bassi, Claudio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-1d98bdc9189d57ceca0ead9468de81000e0f0f8f089f51e47a520fecb2e4f83b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Hospitals, High-Volume</topic><topic>Humans</topic><topic>Pancreatectomy - adverse effects</topic><topic>Pancreatic Fistula</topic><topic>Pancreatic Neoplasms - surgery</topic><topic>Pancreaticoduodenectomy - adverse effects</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Salvia, Roberto</creatorcontrib><creatorcontrib>Andrianello, Stefano</creatorcontrib><creatorcontrib>Ciprani, Debora</creatorcontrib><creatorcontrib>Deiro, Giacomo</creatorcontrib><creatorcontrib>Malleo, Giuseppe</creatorcontrib><creatorcontrib>Paiella, Salvatore</creatorcontrib><creatorcontrib>Casetti, Luca</creatorcontrib><creatorcontrib>Landoni, Luca</creatorcontrib><creatorcontrib>Tuveri, Massimiliano</creatorcontrib><creatorcontrib>Esposito, Alessandro</creatorcontrib><creatorcontrib>Marchegiani, Giovanni</creatorcontrib><creatorcontrib>Bassi, Claudio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>HPB (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Salvia, Roberto</au><au>Andrianello, Stefano</au><au>Ciprani, Debora</au><au>Deiro, Giacomo</au><au>Malleo, Giuseppe</au><au>Paiella, Salvatore</au><au>Casetti, Luca</au><au>Landoni, Luca</au><au>Tuveri, Massimiliano</au><au>Esposito, Alessandro</au><au>Marchegiani, Giovanni</au><au>Bassi, Claudio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pancreatic surgery is a safe teaching model for tutoring residents in the setting of a high-volume academic hospital: a retrospective analysis of surgical and pathological outcomes</atitle><jtitle>HPB (Oxford, England)</jtitle><addtitle>HPB (Oxford)</addtitle><date>2021-04</date><risdate>2021</risdate><volume>23</volume><issue>4</issue><spage>520</spage><epage>527</epage><pages>520-527</pages><issn>1365-182X</issn><eissn>1477-2574</eissn><abstract>Academic hospitals must train future surgeons, but whether residents could negatively affect the outcomes of major procedures is a matter of concern. The aim of this study is to assess if pancreatic surgery is a safe teaching model.
Outcomes of 1230 major pancreatic resections performed at a high-volume pancreatic teaching hospital between 2015 and 2018 were compared according to the first surgeon type, attending vs resident.
Residents performed a selection of 132 (16%) pancreaticoduodenectomies (PD) and 46 (11%) distal pancreatectomies (DP). For PD, pancreatic fistula (25% vs 0, p < 0.001), biliary fistula (7.1% vs 3.5%, p = 0.04) and operative time (400 vs 390 min, p < 0.001) were lower for residents but post-pancreatectomy hemorrhage was higher (20.5% vs 13% p = 0.024). For DP, pancreatic fistula rate was lower for residents (31.7% vs 17.5% p = 0.046). There was no difference in terms of lymph nodes retrieval both for PDs and DPs, while the R1 resections were more frequent among PDs performed by attending surgeons (31.5% vs 15.7%, p = 0.023).
The active participation of residents does not negatively affect outcomes of major pancreatic resections in a high-volume center. By means of case selection and continuous tutoring, pancreatic surgery represents a safe and valid teaching model.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>32859493</pmid><doi>10.1016/j.hpb.2020.08.007</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1365-182X |
| ispartof | HPB (Oxford, England), 2021-04, Vol.23 (4), p.520-527 |
| issn | 1365-182X 1477-2574 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2438678711 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Hospitals, High-Volume Humans Pancreatectomy - adverse effects Pancreatic Fistula Pancreatic Neoplasms - surgery Pancreaticoduodenectomy - adverse effects Postoperative Complications Retrospective Studies |
| title | Pancreatic surgery is a safe teaching model for tutoring residents in the setting of a high-volume academic hospital: a retrospective analysis of surgical and pathological outcomes |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T05%3A04%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Pancreatic%20surgery%20is%20a%20safe%20teaching%20model%20for%20tutoring%20residents%20in%20the%20setting%20of%20a%20high-volume%20academic%20hospital:%20a%20retrospective%20analysis%20of%20surgical%20and%20pathological%20outcomes&rft.jtitle=HPB%20(Oxford,%20England)&rft.au=Salvia,%20Roberto&rft.date=2021-04&rft.volume=23&rft.issue=4&rft.spage=520&rft.epage=527&rft.pages=520-527&rft.issn=1365-182X&rft.eissn=1477-2574&rft_id=info:doi/10.1016/j.hpb.2020.08.007&rft_dat=%3Cproquest_cross%3E2438678711%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2438678711&rft_id=info:pmid/32859493&rft_els_id=S1365182X20311205&rfr_iscdi=true |