Difficult Laparoscopic Cholecystectomy and Trainees: Predictors and Results in an Academic Teaching Hospital
Joint Authors
Mohamed, Ashraf A.
Sewefy, Alaa M.
Abdel-Fatah, Abdel-Fatah S.
Mohammed, Mohammed M.
Atiya, Ahmed M.
Atta, Hussein M.
Source
Gastroenterology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-06-05
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156530