ArticleSurgical endoscopy2018
Supervision by a technically qualified surgeon affects the proficiency and safety of laparoscopic colectomy performed by novice surgeons.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 33 citations in OpenAlex.
- Effect of the endoscopic surgical skill qualification system for laparoscopic right colectomy: a Japanese multicenter analysis.Surgery today · 2026Article
- Impact of surgeon qualifications on the safety of Robot-Assisted surgery.Surgery today · 2026Article
- The learning curve for single-incision laparoscopic colectomy for colon cancer: succession of surgical techniques for novice surgeons.Surgery today · 2025Article
- Feedback differences between upper gastrointestinal and colorectal specialists observing laparoscopic trainee surgeon suturing videos.Surgery open science · 2025Article
- Effect of endoscopic surgical skill qualification system for laparoscopic rectal surgery: Japanese multicenter analysis.Surgical endoscopy · 2025Article
- Does practice make perfect? Studying the relationship between surgeon experience and patient outcomes for paraesophageal hernia repairs.Surgical endoscopy · 2024Article
- Impact of the endoscopic surgical skill qualification system on conversion to laparotomy after low anterior resection for rectal cancer in Japan (a secondary analysis of the EnSSURE study).Surgical endoscopy · 2024Article
- Evaluation of the advantage of surgeons certified by the endoscopic surgical skill qualification system participating in laparoscopic low anterior rectal resection.Annals of gastroenterological surgery · 2024Article
- Safety and Efficacy of OGT-Assisted Overlap Oesophagojejunostomy Versus the Traditional Overlap Method in Laparoscopic Total Gastrectomy for Gastric/Gastroesophageal Junction (G/GEJ) Tumours.Annals of surgical oncology · 2023Article
- An online feedback system for laparoscopic training during the COVID-19 pandemic: evaluation from the trainer perspective.Heliyon · 2022Article
- Impact of Endoscopic Surgical Skill Qualification on Laparoscopic Resections for Rectal Cancer in Japan: The EnSSURE Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Article
- Effect of endoscopic surgical skill qualification system for laparoscopic multivisceral resection: Japanese multicenter analysis.Surgical endoscopy · 2022Article
- Educational system for acquiring appropriate laparoscopic colorectal surgical skills: analysis in a Japanese high-volume cancer center.Surgical endoscopy · 2021Article
- Does the Endoscopic Surgical Skill Qualification System improve patients' outcome following laparoscopic surgery for colon cancer? A multicentre, retrospective analysis with propensity score matching.World journal of surgical oncology · 2021Article
- Clinical impact of Endoscopic Surgical Skill Qualification System (ESSQS) by Japan Society for Endoscopic Surgery (JSES) for laparoscopic distal gastrectomy and low anterior resection based on the National Clinical Database (NCD) registry.Annals of gastroenterological surgery · 2020Article
- Acquiring Advanced Laparoscopic Colectomy Skills - The Issues.The Malaysian journal of medical sciences : MJMS · 2020Review
- Article
- Feasibility and Utility of an Eye-Tracking Device for Assessing Teachers of Invasive Bedside Procedures.Mayo Clinic proceedings. Innovations, quality & outcomes · 2020Article
- Supervision as a tool for building surgical capacity of district hospitals: the case of Zambia.Human resources for health · 2020Article
- Feasibility of needlescopic surgery for colorectal cancer: safety and learning curve for Japanese Endoscopic Surgical Skill Qualification System-unqualified young surgeons.Surgical endoscopy · 2020Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of laparoscopic colectomy is becoming widespread and acquisition of its technique is challenging. In this study, we investigated whether supervision by a technically qualified surgeon affects the proficiency and safety of laparoscopic colectomy performed by novice surgeons.
methodsThe outcomes of 23 right colectomies and 19 high anterior resections for colon cancers performed by five novice surgeons (experience level of <10 cases) between 2014 and 2016 were assessed. A laparoscopic surgeon qualified by the Endoscopic Surgical Skill Qualification System (Japan Society for Endoscopic Surgery) participated in surgeries as the teaching assistant.
resultsIn the right colectomy group, one patient (4.3%) required conversion to open surgery and postoperative morbidities occurred in two cases (8.6%). The operative time moving average gradually decreased from 216 to 150 min, and the blood loss decreased from 128 to 28 mL. In the CUSUM charts, the values for operative time decreased continuously after the 18th case, as compared to the Japanese standard. The values for blood loss also plateaued after the 18th case. In the high anterior resection group, one patient (5.2%) required conversion to open surgery and no postoperative complication occurred in any patient. The operative time moving average gradually decreased from 258 to 228 min, and the blood loss decreased from 33 to 18 mL. The CUSUM charts showed that the values of operative time plateaued after the 18th case, as compared to the Japanese standard. In the CUSUM chart for blood loss, no distinguishing peak or trend was noted.
conclusionsSupervision by a technically qualified surgeon affects the proficiency and safety of laparoscopic colectomy performed by novice surgeons. The trainee's learning curve in this study represents successful mentoring by the laparoscopic surgeon qualified by the Endoscopic Surgical Skill Qualification System.
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