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

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

Institut for Klinisk Medicin

6 Citationer (Scopus)

Abstract

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.

Originalsprog	Engelsk
Tidsskrift	Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
Vol/bind	25
Udgave nummer	6
Sider (fra-til)	492-5
Antal sider	4
ISSN	1530-4515
Status	Udgivet - 1 dec. 2015

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http://journals.lww.com/surgical-laparoscopy/Abstract/2015/12000/Less_Surgical_Experience_Has_no_Impact_on.7.aspx

Citationsformater

Rothman, J. P., Burcharth, J., Pommergaard, H-C., Bardram, L., & Rosenberg, J. (2015). Less Surgical Experience Has no Impact on Mortality and Morbidity After Laparoscopic Cholecystectomy: A Prospective Cohort Analysis. Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, 25(6), 492-5. http://journals.lww.com/surgical-laparoscopy/Abstract/2015/12000/Less_Surgical_Experience_Has_no_Impact_on.7.aspx

Less Surgical Experience Has no Impact on Mortality and Morbidity After Laparoscopic Cholecystectomy : A Prospective Cohort Analysis. / Rothman, Josephine P; Burcharth, Jakob; Pommergaard, Hans-Christian et al.

I: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Bind 25, Nr. 6, 01.12.2015, s. 492-5.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

Rothman, JP, Burcharth, J, Pommergaard, H-C, Bardram, L & Rosenberg, J 2015, 'Less Surgical Experience Has no Impact on Mortality and Morbidity After Laparoscopic Cholecystectomy: A Prospective Cohort Analysis', Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, bind 25, nr. 6, s. 492-5. <http://journals.lww.com/surgical-laparoscopy/Abstract/2015/12000/Less_Surgical_Experience_Has_no_Impact_on.7.aspx>

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abstract = "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.",

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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

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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.

M3 - Journal article

C2 - 26632922

SN - 1530-4515

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JO - Surgical Laparoscopy and Endoscopy

JF - Surgical Laparoscopy and Endoscopy

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

Abstract

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