Department of Colorectal Surgery, University Hospital North Staffordshire NHS Trust, Stoke-on-Trent, UK.
Colorectal Dis. 2012 Apr;14(4):497-501. doi: 10.1111/j.1463-1318.2011.02653.x.
The study investigated whether experience gained during a UK laparoscopic colorectal fellowship enabled the fellow subsequently to train consultant colleagues in laparoscopic surgery.
In one unit a newly appointed post-laparoscopic fellowship consultant (PFC) mentored his other two colleagues. Prospectively collected data regarding surgical outcome were compared with those of the year preceding the PFC appointment.
In the preceding year 18.5% of 260 resections were attempted laparoscopically. This increased to 92.6% (of 270) in the year after (P < 0.0001). Respective conversion rates were 4.2% and 8.4% (P = 0.5524). In the first 6 months after PFC appointment, mentored consultants performed 23 supervised cases. In the second 6 months they carried out 58 procedures independently and trainees performed 38 supervised cases. There was no significant difference in anastomotic leakage and readmission and 30-day mortality rates between the pre- and post-PFC periods.
A laparoscopic fellowship enables the PFC to mentor consultant colleagues safely and effectively.
本研究旨在探讨英国腹腔镜结直肠专科医师培训项目所积累的经验是否能使受训者随后对腹腔镜手术的顾问同事进行培训。
在一个单位，新任命的腹腔镜专科医师培训后顾问（PFC）指导他的另外两位同事。前瞻性收集手术结果数据，并与 PFC 任命前一年进行比较。
在前一年的 260 例切除术中有 18.5%尝试了腹腔镜手术。这一比例在 PFC 任命后的一年增加到 92.6%（270 例中的）（P < 0.0001）。相应的转化率分别为 4.2%和 8.4%（P = 0.5524）。在 PFC 任命后的前 6 个月，受指导的顾问进行了 23 例监督手术。在接下来的 6 个月中，他们独立完成了 58 例手术，学员完成了 38 例监督手术。在 PFC 前后期间，吻合口漏和再入院以及 30 天死亡率没有显著差异。
腹腔镜专科医师培训项目使 PFC 能够安全有效地指导顾问同事。
