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

Department of Clinical Medicine

6 Citations (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.

Original language	English
Journal	Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume	25
Issue number	6
Pages (from-to)	492-5
Number of pages	4
ISSN	1530-4515
Publication status	Published - 1 Dec 2015

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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.

In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 25, No. 6, 01.12.2015, p. 492-5.

Research output: Contribution to journal › Journal article › Research › 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, vol. 25, no. 6, pp. 492-5. <http://journals.lww.com/surgical-laparoscopy/Abstract/2015/12000/Less_Surgical_Experience_Has_no_Impact_on.7.aspx>

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

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.",

author = "Rothman, {Josephine P} and Jakob Burcharth and Hans-Christian Pommergaard and Linda Bardram and Jacob Rosenberg",

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language = "English",

volume = "25",

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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

Y1 - 2015/12/1

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

VL - 25

SP - 492

EP - 495

JO - Surgical Laparoscopy and Endoscopy

JF - Surgical Laparoscopy and Endoscopy

IS - 6

ER -

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

Abstract

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