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Learning trauma surgery through cytoreductive surgery
Xavier Giudicelli1, Olivier Aoun2, Amaury Perchoc3
1Department of digestive surgery, CHU Félix Guyon, allée des Topazes, Saint Denis 97400, France.
Injury
|February 15, 2023
Summary
Cytoreductive surgery (CRS) offers valuable training for French military gastrointestinal surgeons (FMGIS) in war surgery (WS). This approach enhances skills in complex abdominal procedures relevant to trauma care.
Area of Science:
- Surgical Education
- Trauma Surgery
- Military Medicine
Background:
- French military gastrointestinal surgeons (FMGIS) face challenges in war surgery (WS) due to limited exposure to gastrointestinal (GI) trauma.
- Current surgical practice for FMGIS differs significantly from WS requirements, impacting initial and continuing education.
Purpose of the Study:
- To assess the potential of cytoreductive surgery (CRS) in improving FMGIS education for WS.
- To evaluate the similarities between CRS and WS procedures for training purposes.
Main Methods:
- Retrospective analysis of GI surgery activities at military teaching hospitals (Percy for trauma, Begin for CRS).
- Review of surgical procedures performed by FMGIS during deployments from 2004 to 2014.
- Comparison of surgical procedure types and volumes between trauma cases and CRS.
Main Results:
- CRS involved significantly higher numbers of complex abdominal procedures (splenectomy, GI/gynecological resections, liver resection) compared to trauma surgery.
- Despite fewer patients, CRS yielded a greater volume of relevant surgical interventions than trauma cases.
Conclusions:
- Cytoreductive surgery (CRS) presents a viable training model for FMGIS in war surgery (WS) due to procedural similarities.
- CRS training may also benefit civilian trauma surgeons for managing mass casualty events, including terrorist attacks.
