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Related Experiment Videos

Supervised surgical trainees can perform pancreatic resections safely.

R K Praseedom1, A Paisley, K K Madhavan

  • 1University Department of Surgery, Royal Infirmary, Edinburgh. praseedom@aol.com

Journal of the Royal College of Surgeons of Edinburgh
|March 18, 1999
PubMed
Summary

Supervised surgical trainees can perform pancreatic resections with outcomes comparable to consultants. This study found no significant difference in early outcomes for pancreatic surgery based on surgeon grade.

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Area of Science:

  • Gastroenterology and Hepatology
  • Surgical Oncology
  • Surgical Education

Background:

  • Evolving surgical training paradigms and sub-specialization raise questions about trainee involvement in complex procedures.
  • Pancreatic resections are advanced surgical operations with significant patient outcomes.

Purpose of the Study:

  • To evaluate the early outcomes of pancreatic resections performed by surgeons of different grades.
  • To compare the results of operations performed by consultants versus supervised trainees.

Main Methods:

  • Prospective data collection on 62 patients undergoing pancreatic resections between January 1994 and May 1996.
  • Analysis of outcomes based on the grade of the operating surgeon (consultant vs. supervised trainee).
  • Specific procedures included pancreaticoduodenectomies, left partial pancreatectomies, and total pancreatectomies.

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Main Results:

  • 19 operations (31%) were performed by supervised trainees, and 43 by consultants.
  • Consultant-led operations had an 19% anastomotic leak rate and 1 death.
  • Trainee-led operations had an 11% anastomotic leak rate and no deaths.

Conclusions:

  • In a high-volume pancreatic surgery unit, supervised trainees achieve early outcomes for pancreatic resections comparable to those of consultants.
  • The findings suggest that trainees can be effectively integrated into advanced pancreatic surgery with appropriate supervision.
  • This study supports the continued role of trainees in complex pancreatic procedures within specialized units.