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. 2023 May 22:50:e20233404.
doi: 10.1590/0100-6991e-20233404-en. eCollection 2023.

Retrospective analysis of surgical and oncological results of laparoscopic surgeries performed by residents of coloproctology

[Article in English, Portuguese]
Bárbara Bianca Linhares Mota  1 , Tarcísio Junior Bittencourt Macedo  1 , Rogério Serafim Parra  1 , José Joaquim Ribeiro DA Rocha  1 , Omar Feres  1 , Marley Ribeiro Feitosa  1
Affiliations

Retrospective analysis of surgical and oncological results of laparoscopic surgeries performed by residents of coloproctology

[Article in English, Portuguese]
Bárbara Bianca Linhares Mota et al. Rev Col Bras Cir. .

Abstract
in English, Portuguese

Introduction: with the improvement and wide acceptance of laparoscopy in colorectal operations, there was a need for specific training of surgeons in training. There are few studies evaluating the postoperative results of laparoscopic colectomies performed by resident physicians and their impact on patient safety.

Purpose: to analyze the surgical and oncological results of laparoscopic colectomies performed by coloproctology residents and compare them with data in the literature.

Methods: this is a retrospective analysis of patients undergoing laparoscopic colorectal surgery performed by resident physicians at the Hospital das Clínicas de Ribeirão Preto, between 2014 and 2018. The clinical characteristics of the patients were studied, as well as the main surgical and oncological aspects in a period of one year.

Results: we analyzed 191 operations, whose main surgical indication was adenocarcinoma, most of them stage III. The mean duration of surgeries was 210±58 minutes. There was a need for a stoma in 21.5% of the patients, mainly loop colostomy. The conversion rate was 23%, with 79.5% due to technical difficulties, and the main predictors of conversion were obesity and intraoperative accidents. The median length of stay was 6 days. Preoperative anemia was associated with a higher rate of complications (11.5%) and reoperations (12%). Surgical resection margins were compromised in 8.6% of cases. The one-year recurrence rate was 3.2% and the mortality rate was 6.3%.

Conclusions: videolaparoscopic colorectal surgery performed by residents showed efficacy and safety similar to data found in the literature.

Introdução:: com o aperfeiçoamento e a ampla aceitação da laparoscopia nas operações colorretais, houve necessidade de treinamento específico dos cirurgiões em formação. Existem poucos estudos avaliando os resultados pós operatórios das colectomias videolaparoscópicas realizadas por médicos residentes e seu impacto na segurança do paciente.

Objetivo:: analisar os resultados cirúrgicos e oncológicos das colectomias videolaparoscópicas realizadas por residentes de coloproctologia e comparar com dados da literatura.

Métodos:: trata-se de uma análise retrospectiva de pacientes submetidos a cirurgias colorretais laparoscópicas, realizadas por médicos residentes do Hospital das Clínicas de Ribeirão Preto, entre 2014 e 2018. Foram estudadas as características clínicas dos pacientes bem como os principais aspectos cirúrgicos e oncológicos em um período de um ano.

Resultados:: analisou-se 191 operações, cuja principal indicação cirúrgica foi adenocarcinoma, a maioria estadio III. A duração média das cirurgias foi 210±58 minutos. Houve necessidade de estoma em 21,5% dos pacientes, principalmente colostomia em alça. A taxa de conversão foi 23%, sendo 79,5% por dificuldades técnicas, e os principais fatores preditores de conversão foram obesidade e acidentes intra-operatórios. A mediana do tempo de internação foi 6 dias. Anemia pré operatória associou-se a uma maior taxa de complicações (11,5%) e reoperações (12%). Houve comprometimento das margens de ressecção cirúrgica em 8,6% dos casos. A taxa de recidiva em um ano foi de 3,2%, e a taxa de mortalidade, 6,3%.

Conclusões:: a cirurgia colorretal videolaparoscópica realizada por residentes apresentou eficácia e segurança semelhante aos dados encontrados na literatura.

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Conflict of interest statement

Conflict of interest: no.

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References

    1. Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy) Surg Laparosc Endosc. 1991;1(3):144–150. - PubMed
    1. Fowler DL, White SA. Laparoscopy-assisted sigmoid resection. Surg Laparosc Endosc. 1991;1(3):183–188. - PubMed
    1. Kuhry E. Long-term outcome of laparoscopic surgery for colorectal cancer a cochrane systematic review of randomised controlled trials. Cancer Treat Rev. 2008;34(6):498–504. doi: 10.1016/j.ctrv.2008.03.011. - DOI - PubMed
    1. Schwenk W. Short term benefits for laparoscopic colorectal resection. Cochrane Database Syst Rev. 2005;2005(3):CD003145–CD003145. doi: 10.1002/14651858.CD003145.pub2. - DOI - PMC - PubMed
    1. Weeks JC. Short-term quality-of-life outcomes following laparoscopic-assisted colectomy vs open colectomy for colon cancer a randomized trial. JAMA. 2002;287(3):321–328. doi: 10.1001/jama.287.3.321. - DOI - PubMed