Should oesophagectomies be performed by trainees? The experience from a single teaching centre under the supervision of one surgeon.
Ann R Coll Surg Engl
; 90(4): 305-9, 2008 May.
Article
em En
| MEDLINE
| ID: mdl-18492394
ABSTRACT
INTRODUCTION:
Surgical training is threatened by anxieties about trainees performing major procedures. We have analysed the outcome of oesophagectomies performed by a consultant surgeon and compared these to the performance of trainees (years 4-6) operating under direct supervision. PATIENTS ANDMETHODS:
Data were collected retrospectively in a computerised database on all patients who underwent oesophagectomy at a teaching tertiary centre between December 1997 and April 2004 with a minimum 15 months' follow-up. Analysis of outcome was according to measures of technical adequacy, postoperative course, histological analysis, recurrence and survival.RESULTS:
During the study period, 241 oesophagectomies were carried out; 157 (65.1%) of these procedures were performed by the consultant and 84 (34.9%) were performed by surgeons-in-training under direct consultant supervision. Pre-operative, technical adequacy, postoperative course, histological analysis, recurrence and survival were comparable in both groups.CONCLUSIONS:
These data demonstrate comparable patient outcome when suitably experienced trainees are supervised in performing oesophagectomies and support its continued use in operative training.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ensino
/
Neoplasias Esofágicas
/
Competência Clínica
/
Esofagectomia
/
Educação de Pós-Graduação em Medicina
Tipo de estudo:
Observational_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article