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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 6/2017

01-06-2017 | Original Article

Impact of Fellow Versus Resident Assistance on Outcomes Following Pancreatoduodenectomy

Authors: Rosalie A. Carr, MD, Catherine W. Chung, MD, Christian M. Schmidt II, Andrea Jester, MD, Molly E. Kilbane, MD, Michael G. House, MD, Nicholas J. Zyromski, MD, Attila Nakeeb, MD, C. Max Schmidt, MD, Eugene P. Ceppa, MD

Published in: Journal of Gastrointestinal Surgery | Issue 6/2017

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Abstract

Background

Participation by surgical trainees in complex procedures is key to their development as future practicing surgeons. The impact of surgical fellows versus general surgery resident assistance on outcomes in pancreatoduodenectomy (PD) has not been well studied. The purpose of this study was to determine differences in patient outcomes based on level of surgical trainee.

Methods

Consecutive cases of PD (n = 254) were reviewed at a single high-volume institution over a 2-year period (July 2013–June 2015). Thirty-day outcomes were monitored through the American College of Surgeon’s National Surgical Quality Improvement Program (NSQIP) and Quality In-Training Initiative. Patient outcomes were compared between PD assisted by general surgery residents versus hepatopancreatobiliary fellows.

Results

The hepatopancreatobiliary surgery fellows and general surgery residents participated in 109 and 145 PDs, respectively. The incidence of each individual postoperative complication (renal, infectious, pancreatectomy-specific, and cardiopulmonary), total morbidity, mortality, and failure to rescue were the same between groups.

Conclusions

Patient operative outcomes were the same between fellow- and resident-assisted PD. These results suggest that hepatopancreatobiliary surgery fellows and general surgery residents should be offered the same opportunities to participate in complex general surgery procedures.
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Metadata
Title
Impact of Fellow Versus Resident Assistance on Outcomes Following Pancreatoduodenectomy
Authors
Rosalie A. Carr, MD
Catherine W. Chung, MD
Christian M. Schmidt II
Andrea Jester, MD
Molly E. Kilbane, MD
Michael G. House, MD
Nicholas J. Zyromski, MD
Attila Nakeeb, MD
C. Max Schmidt, MD
Eugene P. Ceppa, MD
Publication date
01-06-2017
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 6/2017
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-017-3383-4

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