TY - JOUR
T1 - Less Surgical Experience Has no Impact on Mortality and Morbidity after Laparoscopic Cholecystectomy
T2 - A Prospective Cohort Analysis
AU - Rothman, Josephine P.
AU - Burcharth, Jakob
AU - Pommergaard, Hans Christian
AU - Bardram, Linda
AU - Rosenberg, Jacob
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Background:The number of cholecystectomies required to be fully educated as a surgeon has not yet been established. The European Association for Endoscopic Surgery, however, claims that inadequate experience is a risk factor for bile duct injury. The objective was to investigate surgical experience as a risk factor after laparoscopic cholecystectomy.Methods:A prospective cohort study using the Danish Cholecystectomy Database to generate a cohort including adults treated with laparoscopic cholecystectomy from 2006 to 2011. The relationship between surgeons' level of experience and outcomes were evaluated.Results:Surgical inexperience was not a risk factor for mortality and morbidity. The risk of conversion was however higher when the patients were operated by more experienced surgeons with an odds ratio of 1.80 (95% confidence interval, 1.51-2.14). Surgical inexperience was not a risk factor for bile duct injury.Conclusion:We found that low surgical experience did not by itself increase the risk of mortality or morbidity.
AB - Background:The number of cholecystectomies required to be fully educated as a surgeon has not yet been established. The European Association for Endoscopic Surgery, however, claims that inadequate experience is a risk factor for bile duct injury. The objective was to investigate surgical experience as a risk factor after laparoscopic cholecystectomy.Methods:A prospective cohort study using the Danish Cholecystectomy Database to generate a cohort including adults treated with laparoscopic cholecystectomy from 2006 to 2011. The relationship between surgeons' level of experience and outcomes were evaluated.Results:Surgical inexperience was not a risk factor for mortality and morbidity. The risk of conversion was however higher when the patients were operated by more experienced surgeons with an odds ratio of 1.80 (95% confidence interval, 1.51-2.14). Surgical inexperience was not a risk factor for bile duct injury.Conclusion:We found that low surgical experience did not by itself increase the risk of mortality or morbidity.
KW - cholecystectomy
KW - complications
KW - education
KW - experience
UR - http://www.scopus.com/inward/record.url?scp=84983142791&partnerID=8YFLogxK
U2 - 10.1097/SLE.0000000000000209
DO - 10.1097/SLE.0000000000000209
M3 - Article
C2 - 26632922
AN - SCOPUS:84983142791
SN - 1530-4515
VL - 25
SP - 492
EP - 495
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
IS - 6
ER -