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Related Experiment Video

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Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
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Medical students impact laparoscopic surgery case time.

Makoto Mori1, Albert Liao1, Thomas M Hagopian2

  • 1Department of Surgery, Emory University School of Medicine, Emory University, Atlanta, Georgia.

The Journal of Surgical Research
|May 13, 2015
PubMed
Summary

Medical students (MS) in laparoscopic surgery cases were associated with a 28-minute increase in operative time. However, their presence did not significantly impact postoperative complication rates, suggesting a need to optimize surgical training.

Keywords:
Laparoscopic surgeryMedical studentsOperating roomsOperative timeUniversity hospitals

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Area of Science:

  • Laparoscopic surgery
  • Surgical education
  • Patient safety

Background:

  • Medical students (MS) are increasingly involved in operating room procedures.
  • Laparoscopic surgery presents unique training opportunities for MS.
  • Understanding the impact of MS on surgical outcomes is crucial.

Purpose of the Study:

  • To investigate the association between the presence of medical students during laparoscopic general surgery procedures and operation time.
  • To determine if medical student involvement correlates with postoperative complication rates.

Main Methods:

  • Retrospective analysis of 700 inpatient, nonemergent laparoscopic general surgery cases (2009-2013).
  • Data linkage between American College of Surgeons National Surgical Quality Improvement Program and institutional operative records.
  • Statistical analysis controlling for wound class, procedure group, and surgeon.

Main Results:

  • Medical student presence was associated with an average increase of 28 minutes in total operative time.
  • The most substantial time increase occurred between skin incision and skin closure.
  • No statistically significant association was found between medical student presence and increased postoperative complications.

Conclusions:

  • This study is the first retrospective analysis on medical student impact during laparoscopic procedures.
  • Increased operative time associated with medical students warrants further investigation for educational efficiency.
  • Optimizing the educational experience for medical students is essential without compromising cost-effectiveness due to prolonged operation times.