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Feasibility of safe laparoscopic surgery performed by junior residents without exposure of open appendectomy: A retrospective study

CONTEXT: Appendectomy is the most commonly performed surgery in the emergency department. It is very difficult to determine the minimal duration of the learning curve for junior residents to perform safe laparoscopic surgeries. AIM: This study aimed to determine the feasibility of a safe laparoscopi...

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Autores principales: Meena, Satya Prakash, Badkur, Mayank, Rodha, Mahaveer S., Lodha, Mahendra, Puranik, Ashok, Premi, Krashan Kant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8963655/
https://www.ncbi.nlm.nih.gov/pubmed/35360791
http://dx.doi.org/10.4103/jfmpc.jfmpc_1196_21
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author Meena, Satya Prakash
Badkur, Mayank
Rodha, Mahaveer S.
Lodha, Mahendra
Puranik, Ashok
Premi, Krashan Kant
author_facet Meena, Satya Prakash
Badkur, Mayank
Rodha, Mahaveer S.
Lodha, Mahendra
Puranik, Ashok
Premi, Krashan Kant
author_sort Meena, Satya Prakash
collection PubMed
description CONTEXT: Appendectomy is the most commonly performed surgery in the emergency department. It is very difficult to determine the minimal duration of the learning curve for junior residents to perform safe laparoscopic surgeries. AIM: This study aimed to determine the feasibility of a safe laparoscopic appendectomy performed by junior residents. SETTINGS AND DESIGN: A retrospective study was conducted at a tertiary healthcare center from May 2018 to May 2020. METHODS AND MATERIAL: This study reviewed all the data of laparoscopic appendectomy performed by junior and senior residents. Both groups were compared for the patient outcome in terms of complications, conversion to open, intraoperative findings, operative time, postoperative progress, and hospital stay. STATISTICAL ANALYSIS: The data were formulated in an excel sheet and analyzed with SPSS. Mean, median, range, standard deviation, percentages, univariate analysis with χ test and t-test were used. RESULTS: No significant difference was found in operative time (mean [SD], 84.87 [24.73] vs. 86.95 [24.93], P = 0.679), intraoperative complication (9.2% vs. 7.8%, P = 0.769), postoperative complications (34.2% vs. 34.4%, P = 0.984), conversion to open (6.6% vs. 4.7%, P = 0.633), length of postoperative hospital stay (Mean [SD], 2.3 [2] vs. 2.2 [1], P = 0.739), and readmission (4% vs. 3%, P = 0.794). No major intraoperative complications and mortality were found in both groups. CONCLUSIONS: Junior residents may be allowed for safe laparoscopic appendectomy under supervision without experience of open appendectomy. The patient’s outcomes may be comparable with surgery performed by well-experienced surgeons. They can improve the basic healthcare system in the future with feasible basic laparoscopic surgery for common diseases.
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spelling pubmed-89636552022-03-30 Feasibility of safe laparoscopic surgery performed by junior residents without exposure of open appendectomy: A retrospective study Meena, Satya Prakash Badkur, Mayank Rodha, Mahaveer S. Lodha, Mahendra Puranik, Ashok Premi, Krashan Kant J Family Med Prim Care Original Article CONTEXT: Appendectomy is the most commonly performed surgery in the emergency department. It is very difficult to determine the minimal duration of the learning curve for junior residents to perform safe laparoscopic surgeries. AIM: This study aimed to determine the feasibility of a safe laparoscopic appendectomy performed by junior residents. SETTINGS AND DESIGN: A retrospective study was conducted at a tertiary healthcare center from May 2018 to May 2020. METHODS AND MATERIAL: This study reviewed all the data of laparoscopic appendectomy performed by junior and senior residents. Both groups were compared for the patient outcome in terms of complications, conversion to open, intraoperative findings, operative time, postoperative progress, and hospital stay. STATISTICAL ANALYSIS: The data were formulated in an excel sheet and analyzed with SPSS. Mean, median, range, standard deviation, percentages, univariate analysis with χ test and t-test were used. RESULTS: No significant difference was found in operative time (mean [SD], 84.87 [24.73] vs. 86.95 [24.93], P = 0.679), intraoperative complication (9.2% vs. 7.8%, P = 0.769), postoperative complications (34.2% vs. 34.4%, P = 0.984), conversion to open (6.6% vs. 4.7%, P = 0.633), length of postoperative hospital stay (Mean [SD], 2.3 [2] vs. 2.2 [1], P = 0.739), and readmission (4% vs. 3%, P = 0.794). No major intraoperative complications and mortality were found in both groups. CONCLUSIONS: Junior residents may be allowed for safe laparoscopic appendectomy under supervision without experience of open appendectomy. The patient’s outcomes may be comparable with surgery performed by well-experienced surgeons. They can improve the basic healthcare system in the future with feasible basic laparoscopic surgery for common diseases. Wolters Kluwer - Medknow 2022-02 2022-02-16 /pmc/articles/PMC8963655/ /pubmed/35360791 http://dx.doi.org/10.4103/jfmpc.jfmpc_1196_21 Text en Copyright: © 2022 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Meena, Satya Prakash
Badkur, Mayank
Rodha, Mahaveer S.
Lodha, Mahendra
Puranik, Ashok
Premi, Krashan Kant
Feasibility of safe laparoscopic surgery performed by junior residents without exposure of open appendectomy: A retrospective study
title Feasibility of safe laparoscopic surgery performed by junior residents without exposure of open appendectomy: A retrospective study
title_full Feasibility of safe laparoscopic surgery performed by junior residents without exposure of open appendectomy: A retrospective study
title_fullStr Feasibility of safe laparoscopic surgery performed by junior residents without exposure of open appendectomy: A retrospective study
title_full_unstemmed Feasibility of safe laparoscopic surgery performed by junior residents without exposure of open appendectomy: A retrospective study
title_short Feasibility of safe laparoscopic surgery performed by junior residents without exposure of open appendectomy: A retrospective study
title_sort feasibility of safe laparoscopic surgery performed by junior residents without exposure of open appendectomy: a retrospective study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8963655/
https://www.ncbi.nlm.nih.gov/pubmed/35360791
http://dx.doi.org/10.4103/jfmpc.jfmpc_1196_21
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