University of Sydney, Concord, New South Wales, Australia.
Colorectal Dis. 2013 Aug;15(8):e483-7. doi: 10.1111/codi.12266.
Laparoscopic colorectal surgery requires supervised training. In this paper we examine the short-term outcome following a component-based training in laparoscopic colorectal surgery.
Surgical outcome following laparoscopic colorectal resection was recorded on a prospective database. Patients were divided into three groups, including those performed by the fellows, those completed by the consultant and those completed by a combination of both. Analysis of data was carried out for all colorectal resections and the subgroup with colorectal cancer.
511 operations were examined between June 2006 and January 2011. There was no statistically significant difference in operating time between fellows and consultants but it was significantly longer for procedures where consultants and fellows performed components. Conversion rate, postoperative morbidity, recovery and length of stay were similar for all three groups for the whole patient cohort and also the subgroup of cancer patients. In the cancer subgroup, there was no difference in the pathological stage in the three groups.
Closely supervised training in laparoscopic colorectal surgery is not associated with any adverse effect on the short-term outcome.
腹腔镜结直肠手术需要有监督的培训。本文研究了基于组件的腹腔镜结直肠手术培训后的短期结果。
在一个前瞻性数据库中记录腹腔镜结直肠切除术后的手术结果。将患者分为三组，包括由研究员完成的手术、由顾问完成的手术以及由两者共同完成的手术。对所有结直肠切除术和结直肠癌亚组进行数据分析。
2006 年 6 月至 2011 年 1 月期间检查了 511 例手术。研究员和顾问之间的手术时间没有统计学差异，但顾问和研究员共同完成的手术时间明显更长。对于所有患者队列和癌症患者亚组，转换率、术后发病率、恢复和住院时间在所有三组之间相似。在癌症亚组中，三组的病理分期没有差异。
腹腔镜结直肠手术的密切监督培训不会对短期结果产生任何不利影响。
