Yes, you heard it here first. A new study shows that for six common laparoscopic procedures, resident participation resulted in the surgery lasting from 20% to 47% longer.
The six laparoscopic operations were appendectomy, cholecystectomy, gastric bypass, fundoplication, colectomy, and inguinal hernia.
The paper, published in the Journal of the American College of Surgeons, culled the frequently mined NSQIP database for information on 89,720 operations. The database receives input from a large number of US hospitals, both teaching and non-teaching.
The key results were as follows:
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A study concludes, “Additional work must be undertaken to identify strategies to optimize operating room efficiency and to develop alternate strategies to prepare participants for the performance of the procedure.” And what would those “alternate strategies” be? You can pick up beads on a simulator all you want, but it’s not the same as doing an operation. And assuming open surgery is still being done somewhere, there is no simulator for open surgery.