The impact of a fellow on a regional robotic-assisted partial nephrectomy service

The impact of a fellow on a regional robotic-assisted partial nephrectomy service

Training a fellow has a cost in time and effort for the surgeon and their team. Their relative inexperience may also negatively affect the patient. The aim of this study was to determine and quantify the impact of a fellow on a regional robotic-assisted partial nephrectomy service and on perioperati...

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Veröffentlicht in:Annals of the Royal College of Surgeons of England 2022-01, Vol.104 (1), p.28-34
Hauptverfasser: Crockett, M G, Malki, M, Hussain, M, Mueller, G, Segaran, S, Tadtayev, S, Barber, N J
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Body mass index
Fellowships and Scholarships
Female
Hospitals
Humans
Ischemia
Length of Stay
Male
Middle Aged
Nephrectomy
Operative Time
Participation
Robotic Surgical Procedures
Robotics
Scholarships & fellowships
Standard deviation
Statistical analysis
Surgeons
Tumors
Warm Ischemia
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Zusammenfassung:Training a fellow has a cost in time and effort for the surgeon and their team. Their relative inexperience may also negatively affect the patient. The aim of this study was to determine and quantify the impact of a fellow on a regional robotic-assisted partial nephrectomy service and on perioperative outcomes. We reviewed the prospectively collected data for 522 patients who had undergone robotic-assisted partial nephrectomy since 2015 during the tenure of six fellows. Perioperative outcomes for three groups were compared: group A (no fellow participation), group B (some participation) and group C (fellow completed entire operation). We also reviewed progression over 12 months. Demographics were similar in all groups apart from the percentage of men, which was lower in group C (
ISSN:0035-8843
1478-7083
DOI:10.1308/rcsann.2020.7103