Introduction: Material and methods: We performed a retrospective study examining the records of patients with acute appendicitis that underwent laparoscopy appendectomy at our institution from September 2011 to June 2017. Cases were divided in two groups: those performed by a trainee (G1) and those performed by the senior surgeon (G2). In each group we compared preoperative characteristics, operative data and postoperative morbidity and mortality.Results: During the study period, 922 patients with clinical diagnosis of appendicitis underwent laparoscopic appendectomy at our institution: of these, 386 cases were performed primarily by residents and 536 were performed by senior surgeons. There were no statistical differences in pre-operative characteristics of patients. The two groups did not differ significantly regarding operative times (G1:67 ± 19 vs G2:70 ± 26 minutes), postoperative major complications (G1:9% vs G2:19%), length of stay (3 ± 2 days for both groups), and 30-days mortality (none)., operative times (67 ± 19 vs 70 ± 26 min; respectively), major complications (2% vs 3%; respectively) and length of hospital stay (3 ± 2 vs 3 ± 3). Multivariate analysis confirmed that the type of main surgeon was not an independent risk factor for postoperative morbidity. Conclusion: Postoperative results of laparoscopic appendectomies do not differ significantly if surgeries are performed by residents as opposed to specialists. Appendectomy can provide teaching opportunities without compromising results for patients. References: Disclosure: No significant relationships.

LAPAROSCOPIC APPENDECTOMY FOR ACUTE APPENDICITIS: WHAT SPACE IS THERE FOR TRAINING RESIDENTS? / A. Ussia, S. Vaccari, M. Cervellera, A. Romano, C. Cipressi, S. Bianchini, V. Tonini. - ELETTRONICO. - (2018), pp. 415-416. (Intervento presentato al convegno European Society of Trauma and Emergency Surgery Congress tenutosi a Valencia nel 2018).

LAPAROSCOPIC APPENDECTOMY FOR ACUTE APPENDICITIS: WHAT SPACE IS THERE FOR TRAINING RESIDENTS?

A. Ussia;S. Vaccari;M. Cervellera;A. Romano;C. Cipressi;V. Tonini
2018

Abstract

Introduction: Material and methods: We performed a retrospective study examining the records of patients with acute appendicitis that underwent laparoscopy appendectomy at our institution from September 2011 to June 2017. Cases were divided in two groups: those performed by a trainee (G1) and those performed by the senior surgeon (G2). In each group we compared preoperative characteristics, operative data and postoperative morbidity and mortality.Results: During the study period, 922 patients with clinical diagnosis of appendicitis underwent laparoscopic appendectomy at our institution: of these, 386 cases were performed primarily by residents and 536 were performed by senior surgeons. There were no statistical differences in pre-operative characteristics of patients. The two groups did not differ significantly regarding operative times (G1:67 ± 19 vs G2:70 ± 26 minutes), postoperative major complications (G1:9% vs G2:19%), length of stay (3 ± 2 days for both groups), and 30-days mortality (none)., operative times (67 ± 19 vs 70 ± 26 min; respectively), major complications (2% vs 3%; respectively) and length of hospital stay (3 ± 2 vs 3 ± 3). Multivariate analysis confirmed that the type of main surgeon was not an independent risk factor for postoperative morbidity. Conclusion: Postoperative results of laparoscopic appendectomies do not differ significantly if surgeries are performed by residents as opposed to specialists. Appendectomy can provide teaching opportunities without compromising results for patients. References: Disclosure: No significant relationships.
2018
European Journal of Trauma and Emergency Surgery
415
416
LAPAROSCOPIC APPENDECTOMY FOR ACUTE APPENDICITIS: WHAT SPACE IS THERE FOR TRAINING RESIDENTS? / A. Ussia, S. Vaccari, M. Cervellera, A. Romano, C. Cipressi, S. Bianchini, V. Tonini. - ELETTRONICO. - (2018), pp. 415-416. (Intervento presentato al convegno European Society of Trauma and Emergency Surgery Congress tenutosi a Valencia nel 2018).
A. Ussia, S. Vaccari, M. Cervellera, A. Romano, C. Cipressi, S. Bianchini, V. Tonini
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/655360
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