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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Resident involvement in minimally-invasive vs. open procedures.

Susanna W L de Geus1, Alaina D Geary1, Nkiruka Arinze1

  • 1Department of Surgery, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.

American Journal of Surgery
|November 15, 2019
PubMed
Summary

Resident involvement in surgery is generally safe, with similar impacts on outcomes whether the procedure is laparoscopic or open. While it may increase operative time, it does not significantly raise complication risks across most common surgeries.

Keywords:
ColectomyInguinal hernia repairMinimally invasive surgeryResident trainingSplenectomyVentral hernia repair

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Area of Science:

  • Surgical outcomes research
  • Minimally invasive surgery
  • Surgical education

Background:

  • Evaluating resident involvement in surgical procedures is crucial for patient safety and training.
  • Understanding the nuances of resident participation in both open and laparoscopic surgery is essential.

Purpose of the Study:

  • To assess the influence of resident involvement on surgical outcomes.
  • To compare the impact of resident participation in laparoscopic versus open surgical procedures.

Main Methods:

  • Utilized data from the American College of Surgeons National Surgical Quality Improvement Program (2007-2012).
  • Analyzed outcomes for open and laparoscopic ventral hernia repair (VHR), inguinal hernia repair (IHR), splenectomy, colectomy, and cholecystectomy (CCY).
  • Employed multivariable regression analyses to determine the effect of resident involvement on surgical outcomes.

Main Results:

  • Resident involvement was linked to a higher likelihood of major complications in open ventral hernia repair (VHR).
  • Operative time was significantly increased by resident participation in all analyzed open and laparoscopic procedures.
  • No significant increase in major complications was observed for other procedures analyzed, including laparoscopic VHR.

Conclusions:

  • Resident participation in surgery demonstrates comparable safety profiles in both laparoscopic and open approaches.
  • The findings support the general safety of resident involvement in surgical training and practice.
  • Further research may explore specific strategies to mitigate increased operative times associated with resident participation.