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How much colorectal surgery do general surgeons do?

Neil Hyman1

  • 1Department of Surgery, University of Vermont College of Medicine, Burlington 05401, USA.

Journal of the American College of Surgeons
|January 22, 2002
PubMed
Summary
This summary is machine-generated.

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General surgeons handle many colon surgeries but fewer anorectal procedures. This study analyzed colorectal case volumes for general surgeons, revealing significant variations in practice. Further research is needed to understand these trends.

Area of Science:

  • Colorectal Surgery
  • Surgical Practice Patterns
  • General Surgery

Background:

  • Surgical subspecialization is increasingly limiting the traditional scope of general surgery.
  • Assessing the current role of general surgeons in colorectal procedures is crucial.

Purpose of the Study:

  • To evaluate the volume and distribution of colon and rectal surgeries performed by general surgeons.
  • To understand the practice patterns of general surgeons in colorectal procedures.

Main Methods:

  • Data from the American Board of Surgery database was analyzed.
  • Colorectal cases performed by general surgeons (recertified 1995-1997) were categorized.
  • Case volumes for large bowel and anorectal procedures were quantified.

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Main Results:

  • 2,434 general surgeons were included in the study.
  • The mean number of large bowel cases was 33, with 75% performing at least 17 cases annually.
  • The mean number of anorectal cases was 12.3, with only 25% performing over 16 cases annually.

Conclusions:

  • General surgeons perform a considerable number of colon resections.
  • General surgeons perform a relatively low volume of anorectal cases.
  • The reasons for low anorectal case volume may stem from training or referral patterns.