最少侵入性袖子胃切除术的结果和外科住院教育的影响
Diego L Lima1, Rebeca Dominguez Profeta1, Robin Berk1
1Department of Surgery, Montefiore Medical Center, The Bronx, New York, USA.
概括
居民参与袖子胃切除术 (SG) 是安全的,随着类似的术后结果,无论助理的培训水平. 在减肥手术中包括住院医生,可以提高他们的培训,而不会损害患者的安全.
科学领域:
- 腹部外科 腹部外科
- 最少侵入性的手术
- 外科教育的外科教育
背景情况:
- 在先进的减肥和最少侵入性手术中,住院人员的参与受到辩论.
- 评估居民参与机器人和腹腔镜袖子胃切除术 (SG) 的安全性至关重要.
研究的目的:
- 评估居民参与袖子胃切除术 (SG) 程序的安全性和影响.
- 根据外科助理的培训水平来比较患者的结果.
主要方法:
- 对前性维护的代谢和腹部外科手术认证质量改进计划数据库 (2018-2021) 的分析.
- 审查操作笔记,将助理分为7个培训组 (居民PGY 1-5,同学,参加).
- 结果的比较,包括手术持续时间,停留时间,并发症,再入院和重新手术.
主要成果:
- 分析了2571个SG案例,各种培训水平的协助.
- 在助理组之间没有观察到停留时间,术后并发症,重新手术或死亡率的显著差异.
- 在仅由参与手术的外科医生协助的病例中,观察到更高的BMI,但结果仍然相似.
结论:
- 袖子胃切除术后的患者结果不会受到助手的培训水平的不利影响.
- 居民参与减肥手术是安全的,并建议进行外科训练.
- 复杂的微创手术培训应包括住院人员的参与,以提高技能和患者护理.
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