World Journal of Laparoscopic Surgery

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VOLUME 12 , ISSUE 1 ( January-April, 2019 ) > List of Articles

CASE REPORT

Review of Outcome of Laparoscopic Cholecystectomy Done by Consultants vs Surgery Residents at Tertiary Care Teaching Hospital

Jasmine R Agarwal, Jitendra T Sankpal, Ratnaprabha P Jadhav, Shubham D Gupta, Supriya S Bhondve, Ruchira R Bhattacharya

Keywords : Cholecystecomy, Cholelithiasis, Complications, Laparoscopy, Outcome, Surgical training

Citation Information : Agarwal JR, Sankpal JT, Jadhav RP, Gupta SD, Bhondve SS, Bhattacharya RR. Review of Outcome of Laparoscopic Cholecystectomy Done by Consultants vs Surgery Residents at Tertiary Care Teaching Hospital. World J Lap Surg 2019; 12 (1):43-44.

DOI: 10.5005/jp-journals-10033-1363

License: CC BY-NC 4.0

Published Online: 01-04-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective: The aim of this study was to assess morbidity, mortality, and outcome in selected patients after laparoscopic cholecystectomy (LC) performed by consultants or by surgical residents at Gokuldas Tejpal Hospital affiliated to Grant Government Medical College and Sir JJ group of Government Hospitals in Mumbai, India Materials and methods: Between January 1, 2013 and December 31, 2016, 342 laparoscopic cholecystectomies were performed, 111 by residents and 231 by consultants. The routine blood investigations of all the patients were sent and they all had electrocardiography, chest X-ray, and abdominal ultrasound scan done preoperatively. All patients were induced with general anesthesia. Results: Six conversions were required to an open procedure (four in the resident group and two in the group of consultants) because of impossible recognition of anatomy around Calot\'s triangle. The mean operative time was 59 minutes for the residents while for the consultants it was 47 minutes. Mortality rate was 0% in both groups. There were 27 major complications, 12 in the resident group and 15 in the consultant group. The mean hospital stay was 3.5 days and 2.3 days for patients operated by the residents and the consultants, respectively, while all the patients resumed their normal activities after 16.7 days and 15.1 days respectively. Conclusion: Supervised LC performed by surgical residents does not increase surgical morbidity and does not compromise patient outcome.


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