妇科住院医师参与腹腔镜切除术实习生对手术时间结果影响1 s2 main.pdfVIP

Research

GYNECOLOGY

Residentparticipationinlaparoscopic

hysterectomy:impactoftraineeinvolvement

onoperativetimesandsurgicaloutcomes

ElenaIgwe,MD;EnriqueHernandez,MD;StephenRose,MD;ShitanshuUppal,MD

OBJECTIVE:Thepurposeofthisstudywastodetermheimpactof5.4%forattendingalone;P¼.5),compositeseveremorbidity(1.3%

residentinvolvementonmorbidityaftertotallaparoscopichysterec-residentvs1.0%attendingalone),or30-daymortalityrate(0%resident

tomyforbenigndisease.vs0.1%attendingalone).Additionally,therewerenodifferencesbe-

tweengroupsintheinfectious,wound,neurorenal,thromboembolic,

STUDYDESIGN:WeperformedaretrospectivereviewofaNational

septic,andcardiopulmonarycomplications.Caseswithresident

SurgicalQualityImprovementProgramdatabaseoftotallaparoscopic

involvementhadsignificantlyreasedratesofpostoperativetrans-

hysterectomyforbenigndiseasethatwasperformedwithresident

involvementvsattendingalonweenJan.1,2008,andDec.31,fusionofpackedredbloodcells(2%vs0.4%;P.0001),reoperation

(2.2%vs1.3%;P¼.048),anda30-dayreadmission(5.5%vs2.9%;

2011.Surgicaloperativetimesandmorbidityandmortalityrateswere

compared.BinarylogisticregressionwasusedtocontrolforcovariatesP¼.015).Inmodelsthatwereadjustedforfactorst