Abstract
Background: The objective of this study was to evaluate the impact of a laparoscopic colorectal surgeon (LCRS) on the laparoscopic colectomy experience of a single academic center. Background: We performed a retrospective review of case complexity, patient characteristics, operative and preparation time, and trends over time for the LCRS compared to two veteran laparoscopic surgeons (VLS). Results: The LCRS performed 48 of the procedures (83%) and the VLS 10 (17%) for a total of 58 laparoscopic colon cases. The LCRS handled a greater number of complex cases (p = 0.07). For less complex cases, overall operative time differed for the two groups (LCRS = 220 ± 11 vs VLS = 152 ± 15 min, p = 0.004). Overall hospital stay was 4.8 ± 0.6 days (range, 2-33). Minor complications occurred in 12 cases (21%); major complications in occurred in seven cases (12%). Among procedures performed by the LCRS, comparison of the first 24 cases to the second 24 demonstrated that operative and preparation time decreased in the second cohort (all p < 0.05). Conclusion: The addition of an LCRS had a significant impact on this center's experience with laparoscopic colectomies in terms of both volume and case complexity.
Original language | English (US) |
---|---|
Pages (from-to) | 311-315 |
Number of pages | 5 |
Journal | Surgical Endoscopy and Other Interventional Techniques |
Volume | 19 |
Issue number | 3 |
DOIs | |
State | Published - Mar 1 2005 |
Keywords
- Case complexity
- Laparoscopic colectomy
- Learning curve
- Operative time
- Surgical training
ASJC Scopus subject areas
- Surgery