ArticleWorld journal of surgery2019
Impact of Residents on Safety Outcomes in Laparoscopic Cholecystectomy.
Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
5 citing papers in PubMed.
- Operating room organization and surgical performance: a systematic review.Patient safety in surgery · 2024Review
- Multicenter retrospective cohort Italian study on elective laparoscopic cholecystectomy performed by the surgical residents.Langenbeck's archives of surgery · 2022Article
- Impact of resident involvement on patient outcomes in laparoscopic cholecystectomy of different degrees of complexity: analysis of 2331 cases.Surgical endoscopy · 2022Article
- Consultant versus trainee led surgery and impact on outcome following an emergency colonic resection.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Effect modification of resident autonomy and seniority on perioperative outcomes in laparoscopic cholecystectomy.Surgical endoscopy · 2021Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNew training programs face quality concern by faculty who believe resident involvement in operative management may lead to poorer outcomes. This study aims to understand the impact of resident surgeons on outcomes in a specific common surgical procedure.
methodsWe obtained a retrospective review of 1216 laparoscopic cholecystectomy cases between June 2012 and June 2017 at a community teaching hospital. Data reviewed included patient demographics, operative time, length of stay, 30-day outcomes. An initial analysis comparing outcomes with/without resident participation was undertaken. A subset analysis comparing junior (PGY 1-2) and senior (PGY 3-5) groups was also performed.
resultsWe found the resident group participated in higher-risk patient (ASA > 3, 47.5% vs 39.8%, p = 0.04 more acute disease (59.8% vs 37.5%, p < 0.0001) and emergent surgery (59.7% vs 37.5%, p < 0.0001). Resident involvement in severe cases was not a significant factor in the odds of morbidity, mortality, conversion rate or length of stay. Resident participation did increase the odds of having longer OR time (OR 12.54, 95% CI 7.74-17.34, p < 0.0001).
conclusionsResident participation is associated with increased operative times but not complications. This study confirms resident participation in the operating room in difficult and challenging cases is safe.
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Registered trials
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