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The impact of incorporating of a novice assistant into a laparoscopic team on operative outcomes in laparoscopic sigmoidectomy: a prospective study

Authors
 Young Wan Kim  ;  Byung Soh Min  ;  Nam Kyu Kim  ;  Jeong Yeon Kim  ;  Hyuk Hur  ;  Kang Young Lee  ;  Seung Kook Sohn  ;  Chang Hwan Cho 
Citation
 SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, Vol.20(1) : 36-41, 2010 
Journal Title
 SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES 
ISSN
 1530-4515 
Issue Date
2010
MeSH
Clinical Competence/statistics & numerical data* ; Colectomy/adverse effects* ; Colon, Sigmoid/surgery* ; Female ; Humans ; Intraoperative Period ; Laparoscopy/statistics & numerical data* ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Patient Care Team* ; Postoperative Complications/epidemiology ; Prospective Studies ; Republic of Korea/epidemiology ; Sigmoid Neoplasms/surgery* ; Time Factors ; Treatment Outcome*
Keywords
sigmoid ; neoplasm ; laparoscopy ; assistant ; operative time ; complications
Abstract
AIM: To evaluate whether the incorporation of a novice first assistant into a laparoscopic team affects operative outcomes after laparoscopic sigmoidectomy for sigmoid colon cancer. METHODS: Sixty-five patients who underwent laparoscopic sigmoidectomy were prospectively enrolled in this study between March 2008 and October 2008. One surgeon with a novice first assistant during the study period carried out all operations. Outcomes of this population were compared with those of 50 patients (control group) that underwent laparoscopic sigmoidectomy between March 2007 and February 2008 by the same surgeon with an experienced first assistant. The 65 patients operated upon with the involvement of the novice (the patients group) were allocated to 2 groups by case number, that is, to an early group (case numbers 1 to 10) and to a late group (case numbers 11 to 65). RESULTS: Mean operative times were 233+/-50 minutes in the control group, 305+/-113 minutes in the early group, and 226+/-58 minutes in the late group (P=0.04). Multiple regression analysis showed that in the early group, body mass index and tumor diameter significantly contributed to operative time. The incidences of intraoperative and postoperative complications were not significantly different in the early, late, and control groups. CONCLUSIONS: The incorporation of a novice first assistant into a laparoscopic team was not found to affect operative outcomes adversely. However, in terms of operative time, novice assistants probably need experience of around 10 cases before they can be viewed as fully competent surgical team members during laparoscopic sigmoidectomy
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00129689-201002000-00008&LSLINK=80&D=ovft
DOI
10.1097/SLE.0b013e3181cdb762
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyu(김남규) ORCID logo https://orcid.org/0000-0003-0639-5632
Kim, Young Wan(김영완)
Kim, Jeong Yeon(김정연)
Min, Byung Soh(민병소) ORCID logo https://orcid.org/0000-0003-0180-8565
Sohn, Seung Kook(손승국)
Lee, Kang Young(이강영)
Cho, Chang Hwan(조장환)
Hur, Hyuk(허혁) ORCID logo https://orcid.org/0000-0002-9864-7229
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101672
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