What factors impact surgical operative time when teaching a resident in the operating room

Benissan-Messan, Dathe; Tamer, Robert; Pieper, Heidi; Meara, Michael P.; Chen, Xiaodong

doi:10.1016/j.heliyon.2023.e16554

Cited by 6 publications

(1 citation statement)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Critics of console time as a surrogate for resident autonomy suggest that it does not capture completion of the critical portions of the case or verbal guidance. Previously published data from our group demonstrated strong correlation between ICT and both resident self-reported autonomy scores and attending surgeon-reported resident autonomy scores [ 36 ]. Until case segmentation becomes more feasible and widespread, console time remains the best available surrogate.…”

Section: Discussionmentioning

confidence: 93%

Behind the pattern: General surgery resident autonomy in robotic surgery

Wang,

Woelfel,

Huang

et al. 2024

Heliyon

Self Cite

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 93%

Behind the pattern: General surgery resident autonomy in robotic surgery

Wang,

Woelfel,

Huang

et al. 2024

Heliyon

Self Cite

View full text Add to dashboard Cite

Teaching residents in emergency surgery for acute bowel obstruction—is supervised surgery safe and feasible? A retrospective single-center analysis from a MIS-specialized hospital

Hoi,

Ebner,

Grünbart

et al. 2024

Surg Endosc

View full text Add to dashboard Cite

Objective Emergency surgery for acute bowel obstruction (ABO) is a common and occasionally technically demanding procedure, requiring both surgical skill and strategic planning. The risk entailed in teaching residents during ABO surgery has not been defined or investigated in detail to date. It is the aim of this study to reveal whether surgery for ABO, performed by resident surgeons under supervision, is safe and feasible. Design A retrospective analysis was conducted of all emergency surgeries for ABO performed between 2009 and 2023 at a community-based hospital. Patients’ general characteristics, procedural data and outcome parameters were compared. Differences between teaching procedures and non-teaching procedures were analysed. Setting The study was conducted at the Department of General and Visceral surgery at a community-based hospital (St. John of God Hospital Salzburg, Austria). Participants All emergency surgeries for ABO (n = 300 patients) that were performed during the study period were included. Results Emergency surgery for ABO was performed in 300 patients during the study period, 15.3% of which operations were performed by residents under supervision and 84.7% by senior surgeons. No differences between these two groups were found in terms of patient characteristics, except for a past medical history of previous gynecologic or urologic surgery that was more frequent in the senior surgeon group (p = 0.02). Neither procedural data nor conversion rates from a minimally invasive (MIS) to an open (OS) approach, nor postoperative complication rates were found to be significantly different between these groups. Conclusion Emergency surgery for ABO, performed by residents under supervision, is safe and feasible, showing no significant differences in terms of complication rates, morbidity or mortality as compared to procedures performed by senior surgeons. Graphical abstract

show abstract