Less Surgical Experience Has no Impact on Mortality and Morbidity after Laparoscopic Cholecystectomy: A Prospective Cohort Analysis

Josephine P. Rothman, Jakob Burcharth, Hans Christian Pommergaard, Linda Bardram, Jacob Rosenberg

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    Abstrakt

    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.

    OriginalsprogEngelsk
    Sider (fra-til)492-495
    Antal sider4
    TidsskriftSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
    Vol/bind25
    Udgave nummer6
    DOI
    StatusUdgivet - 1 dec. 2015

    Fingeraftryk Udforsk hvilke forskningsemner 'Less Surgical Experience Has no Impact on Mortality and Morbidity after Laparoscopic Cholecystectomy: A Prospective Cohort Analysis' indeholder.

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