Difficult Laparoscopic Cholecystectomy and Trainees: Predictors and Results in an Academic Teaching Hospital
المؤلفون المشاركون
Mohamed, Ashraf A.
Sewefy, Alaa M.
Abdel-Fatah, Abdel-Fatah S.
Mohammed, Mohammed M.
Atiya, Ahmed M.
Atta, Hussein M.
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-06-05
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Laparoscopic cholecystectomy (LC) is one of the first laparoscopic procedures performed by surgical trainees.
This study aims to determine preoperative and/or intraoperative predictors of difficult LC and to compare complications of LC performed by trainees with that performed by trained surgeons.
A cohort of 180 consecutive patients with cholelithiasis who underwent LC was analyzed.
We used univariate and binary logistic regression analyses to predict factors associated with difficult LC.
We compared the rate of complications of LCs performed by trainees and that performed by trained surgeons using Pearson’s chi-square test.
Patients with impacted stone in the neck of the gallbladder (GB) (OR, 5.0; 95% CI, 1.59–15.77), with adhesions in the Triangle of Calot (OR, 2.9; 95% CI, 1.27–6.83), or with GB rupture (OR, 3.4; 95% CI, 1.02–11.41) were more likely to experience difficult LC.
There was no difference between trainees and trained surgeons in the rate of cystic artery injury (p=.144) or GB rupture (p=.097).
However, operative time of LCs performed by trained surgeons was significantly shorter (median, 45 min; IQR, 30–70 min) compared with the surgical trainees’ operative time (60 min; IQR, 50–90 min).
Surgical trainees can perform difficult LC safely under supervision with no increase in complications albeit with mild increase in operative time.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Atta, Hussein M.& Mohamed, Ashraf A.& Sewefy, Alaa M.& Abdel-Fatah, Abdel-Fatah S.& Mohammed, Mohammed M.& Atiya, Ahmed M.. 2017. Difficult Laparoscopic Cholecystectomy and Trainees: Predictors and Results in an Academic Teaching Hospital. Gastroenterology Research and Practice،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1156530
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Atta, Hussein M.…[et al.]. Difficult Laparoscopic Cholecystectomy and Trainees: Predictors and Results in an Academic Teaching Hospital. Gastroenterology Research and Practice No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1156530
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Atta, Hussein M.& Mohamed, Ashraf A.& Sewefy, Alaa M.& Abdel-Fatah, Abdel-Fatah S.& Mohammed, Mohammed M.& Atiya, Ahmed M.. Difficult Laparoscopic Cholecystectomy and Trainees: Predictors and Results in an Academic Teaching Hospital. Gastroenterology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1156530
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1156530
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر