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Related Experiment Video

Updated: May 15, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
06:46

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

Outcomes associated with resident involvement in partial colectomy.

James C Iannuzzi1, Aaron S Rickles, Andrew-Paul Deeb

  • 1Surgical Health Outcomes & Research Enterprise, University of Rochester Medical Center, Rochester, New York 14642, USA. james_iannuzzi@urmc.rochester.edu

Diseases of the Colon and Rectum
|January 11, 2013
PubMed
Summary

Resident involvement in partial colectomy increases complications and operative time. While initially linked to major complications, this association narrows with operative time considered, particularly in open cases with senior residents.

Related Experiment Videos

Last Updated: May 15, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
06:46

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

Area of Science:

  • Colorectal Surgery
  • Surgical Education
  • Patient Safety

Background:

  • Surgical cases involving trainees are often associated with poorer patient outcomes compared to those performed by attending surgeons alone.
  • Understanding the specific risks associated with resident involvement in partial colectomy is crucial for improving patient safety and surgical training.

Purpose of the Study:

  • To determine if resident participation in partial colectomy correlates with adverse outcomes.
  • To analyze these outcomes based on surgical approach (open vs. laparoscopic) and resident experience level.

Main Methods:

  • Retrospective analysis of the National Surgical Quality Improvement Program (NSQIP) database.
  • Inclusion of all patients undergoing partial colectomy, encompassing both open and laparoscopic procedures.
  • Evaluation of outcomes including major and minor complications, unplanned returns to the operating room, and operative time.

Main Results:

  • Resident involvement was linked to a higher incidence of major complications (OR 1.18) and minor complications (OR 1.3).
  • Cases with residents also showed an increased risk of unplanned return to the operating room (OR 1.20) and longer operative times (average increase of 33.7 min for open, 27 min for laparoscopic).
  • After adjusting for operative time, only open cases with fifth-year residents remained significantly associated with major complications.

Conclusions:

  • Resident involvement in partial colectomy is associated with increased rates of major and minor complications, returns to the OR, and extended operative times.
  • The study's retrospective nature and lack of data on teaching status, case complexity, and intraoperative technique evaluation present limitations.
  • Further research is needed to fully elucidate the nuanced relationship between resident training and patient outcomes in partial colectomy.