The effect of residents as teaching assistants on operative time in laparoscopic cholecystectomy
- PMID: 26343854
- DOI: 10.1016/j.amjsurg.2015.06.019
The effect of residents as teaching assistants on operative time in laparoscopic cholecystectomy
Abstract
Background: We examined the effect of primary surgeon (PS) and teaching assistant (TA) seniority on operative time and outcomes for residents performing laparoscopic cholecystectomy (LC).
Methods: This was a retrospective analysis of urgent LC at a county teaching hospital. Relevant data included postgraduate year (PGY) of the PS and TA and markers of disease severity. Primary outcome was operative time. Secondary outcomes were conversion to open cholecystectomy and complications.
Results: There were 1,202 LCs; 415 included an intraoperative cholangiogram. On multivariable analysis, every PGY increase of PS decreased operative time by 3.2 minutes (P = .02). For every PGY increase of TA, operative time decreased 10.8 minutes (P < .001). Acute or gangrenous pathology increased conversion to open surgery (P < .001). Seniority of PS and TA was not associated with increases in conversion or complication rates.
Conclusions: Residents' operative time improves as experience with LC increases. These improvements become more profound after adjusting for the seniority of the TA.
Keywords: Laparoscopic cholecystectomy; Operative time; Resident education; Teaching assistant.
Copyright © 2016 Elsevier Inc. All rights reserved.
Similar articles
-
Senior residents as teaching assistants during laparoscopic cholecystectomy in the 80-hour workweek era: effect on biliary injury and overall complication rates.J Surg Educ. 2013 Nov-Dec;70(6):796-9. doi: 10.1016/j.jsurg.2013.09.011. J Surg Educ. 2013. PMID: 24209658 Review.
-
Influence of resident and attending surgeon seniority on operative performance in laparoscopic cholecystectomy.J Surg Res. 2006 May 15;132(2):159-63. doi: 10.1016/j.jss.2005.11.578. Epub 2006 Jan 18. J Surg Res. 2006. PMID: 16412471
-
The Effect of Afternoon Operative Sessions of Laparoscopic Cholecystectomy Performed by Senior Surgeons on the General Surgery Residency Program: A Comparative Study.J Surg Educ. 2015 Sep-Oct;72(5):1014-7. doi: 10.1016/j.jsurg.2015.03.017. Epub 2015 May 14. J Surg Educ. 2015. PMID: 25980825
-
Can residents safely and efficiently be taught single incision laparoscopic cholecystectomy?J Surg Educ. 2012 Jul-Aug;69(4):468-72. doi: 10.1016/j.jsurg.2012.03.006. Epub 2012 May 5. J Surg Educ. 2012. PMID: 22677583
-
Variations in procedure time based on surgery resident postgraduate year level.J Surg Res. 2013 Dec;185(2):570-4. doi: 10.1016/j.jss.2013.06.056. Epub 2013 Jul 24. J Surg Res. 2013. PMID: 23932655
Cited by
-
Risk prediction models for difficult cholecystectomy.Wideochir Inne Tech Maloinwazyjne. 2022 Jun;17(2):303-308. doi: 10.5114/wiitm.2022.114539. Epub 2022 Mar 16. Wideochir Inne Tech Maloinwazyjne. 2022. PMID: 35707332 Free PMC article.
-
An Objective Assessment of the Surgical Trainee in an Urban Trauma Unit in South Africa: A Pilot Study.World J Surg. 2016 Aug;40(8):1815-22. doi: 10.1007/s00268-016-3503-4. World J Surg. 2016. PMID: 27091205
-
Evaluating the impact of resident involvement during the laparoscopic nephrectomy.Cent European J Urol. 2019;72(4):369-373. doi: 10.5173/ceju.2019.0021. Epub 2019 Nov 14. Cent European J Urol. 2019. PMID: 32015905 Free PMC article.
-
Impact of Resident Post-Graduate Year on Laparoscopic Cholecystectomy Outcomes.Cureus. 2023 Mar 24;15(3):e36644. doi: 10.7759/cureus.36644. eCollection 2023 Mar. Cureus. 2023. PMID: 37155448 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
