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Major hepatic resection in a residency training program.

R A Hoefer1, G J Bowers, B L Eisenberg

  • 1Department of General Surgery, Wilford Hall USAF Medical Center, Lackland AFB, Tex.

Southern Medical Journal
|September 1, 1990
PubMed
Summary
This summary is machine-generated.

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This study found that major hepatic resections can be safely performed by surgical residents. These complex liver surgeries are feasible within a general surgery residency training program, demonstrating good outcomes.

Area of Science:

  • Hepatobiliary Surgery
  • Surgical Education
  • Residency Training Programs

Background:

  • Major hepatic resections are complex procedures.
  • Training residents in these advanced surgeries presents unique challenges.
  • Assessing the feasibility and safety in a training setting is crucial.

Purpose of the Study:

  • To evaluate the feasibility, safety, and resource requirements of major hepatic resections within a general surgery residency program.
  • To compare outcomes of resident-performed hepatic resections with established literature benchmarks.
  • To determine if hepatic resection is a suitable component of surgical training.

Main Methods:

  • Retrospective analysis of 30 major hepatic resections.
  • Procedures performed at David Grant USAF Medical Center and Wilford Hall USAF Medical Center.

Related Experiment Videos

  • Data collected on intraoperative blood loss, transfusions, ICU stay, and postoperative complications.

    • Main Results:

    • Mean intraoperative blood loss: 2022 mL; Mean transfusion: 4.2 units PRBCs.
    • Average ICU stay: 2.7 days; Average overall postoperative stay: 15 days.
    • Mortality rate: 2 deaths (6.7%); Major complications: 5 (17%), one reoperation.

    Conclusions:

    • Major hepatic resections can be safely and effectively performed by surgical residents under close supervision.
    • The outcomes of these procedures in a training program are comparable to published data.
    • Hepatic resection should be considered a viable component of general surgery residency training.