Residency, Surgical Training
Conditions
Keywords
Colorectal Cancer, Surgical Training, Residency, Colorectal Surgery
Brief summary
The ability to perform laparoscopic colorectal surgery is an essential attribute of a general surgeon. Data on the participation of residents and the outcomes of colorectal procedures performed by surgeons in training are in demand. The objective of this study is to comprehensively investigate the outcomes of colorectal procedures performed by general surgery residents supervised by experienced colorectal surgeons and assess their previous laparoscopic experience.
Detailed description
The ability to perform laparoscopic colorectal surgery is an essential attribute of a general surgeon. Residents' contribution to colorectal procedures ranges from 33 to 40%. Few papers describe the outcomes of treatment provided by residents. The learning curve in colorectal techniques requires 88 to 152 cases to reach proficiency. Data on the participation of residents and the outcomes of procedures performed by surgeons in training are in demand. The objective of this study is to comprehensively investigate the outcomes of colorectal procedures performed by general surgery residents supervised by experienced colorectal surgeons and assess their previous laparoscopic experience. A retrospective single-center analysis was performed based on a review of database records. It included 498 elective colorectal procedures performed in a high-volume colorectal surgery center, where over 200 procedures are performed each year. The study included all individuals undergoing elective colorectal resection due to cancer between January 2022 and December 2023. 43 procedures were performed by residents and 455 by experienced colorectal surgeons. The procedures were performed by five experienced colorectal surgeons and three residents in their third to sixth year of surgical training. When performing evaluated procedures, residents were performed under the surveillance of experienced colorectal surgeons, according to Polish law requirements.
Interventions
PROCEDUREsurgery
The colorectal surgery of any type conducted in any approach in the timeframe
Sponsors
Jagiellonian University
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* all individuals undergoing elective colorectal resection due to cancer between January 2022 and December 2023 in a single colorectal center.
Exclusion criteria
* stoma creation * a history of inflammatory bowel disease * a history of bowel resection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of complete resections | 1st January 2021 - 31th December 2023 | Resection is noted as complete (R0) when resection margins are clear from cancer infiltration microscopically and macroscopically. |
| The number of resected lymph nodes | 1st January 2021 - 31th December 2023 | Reported number of lymph nodes in histopathological result |
| The duration of surgery | 1st January 2021 - 31th December 2023 | Reported surgery time |
| The length of hospital stay | 1st January 2021 - 31th December 2023 | Reported days in hospital |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The rate of surgical site infection | 1st January 2021 - 31th December 2023 | Reported number of surgical site infection |
| The rate of readmissions | 1st January 2021 - 31th December 2023 | Reported number of readmissions |
| Mortality | 1st January 2021 - 31th December 2023 | Reported mortality |
| The rate of anastomosis leaks | 1st January 2021 - 31th December 2023 | Reported number of anastomosis leaks |
| The rate of postoperative ileus | 1st January 2021 - 31th December 2023 | Reported number of postoperative ileus |
| The rate of reoperations | 1st January 2021 - 31th December 2023 | The number of reoperations at any cause associated with primary surgery (both surgical and endoscopic interventions). |
Countries
Poland
Outcome results
None listed