ArticleJournal of Korean medical science2026
Increased Surgical Risks in Hepatobiliary and Pancreatic Surgery Following the Shift to Single-Surgeon Practice Triggered by Trainee Resignations.
Article in Journal of Korean medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe availability of assistive surgical personnel plays a crucial role in optimizing patient outcomes and operational efficiency. In March 2024, South Korea experienced a significant shift in surgical practices due to a nationwide trainee strike, necessitating single-surgeon procedures in most hospitals. This study examines the impact of this transition on surgical outcomes.
methodsThis study used prospectively collected surgical records at CHA Bundang Medical Center. Patients who underwent hepatobiliary and pancreatic surgery between August 2023 and September 2024 were divided into two groups consecutively (Group 1: August 2023 to February 2024, surgeries performed with an assistant doctor vs. Group 2: March 2024 to September 2024, solo-surgeon surgeries). After propensity score matching, surgical outcomes and prognostic factors were compared.
resultsA total of 995 patients were included (499 in the assistant surgeon group, 496 in the solo surgeon group). After propensity score matching, 388 matched pairs were analyzed. While overall complication rates did not significantly differ between groups (3.6% vs. 6.7%,
conclusionThe transition to solo-surgeon practice in gallbladder-centric hepatobiliary and pancreatic surgery may be associated with a higher incidence of major complications, particularly in complex cases. Further studies are needed, but a team-based surgical approach may improve outcomes in select patient populations.
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