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Surgical Endoscopy
Published in: Surgical Endoscopy 8/2015

01-08-2015

Surgical team composition differs between laparoscopic and open procedures

Authors: Bin Zheng, Eric Fung, Bo Fu, Neely M. Panton, Lee L. Swanström

Published in: Surgical Endoscopy | Issue 8/2015

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Abstract

Background

Performing laparoscopic procedures requires different skill sets and team dynamics compared with open procedures. We evaluated team composition and procedure time between these two surgical approaches using data collected from hospitals in the United State and Canada.

Methods

A total of 1,260 general surgical cases were reviewed retrospectively, recording the number of operation personnel, procedure complexity, and the procedure time.

Results

Laparoscopic procedures (n = 930), on average, had a higher procedure difficulty coding which led to a longer procedure time and involved more people in the surgical team than open procedures (n = 330). When we selected cases with matched procedure difficulty coding, laparoscopic procedures (n = 450) still required longer procedure times and involved more operative personnel than open procedures (n = 92).

Discussion

Increased laparoscopic team size and procedure time must be influenced by factors other than case difficulty. The factors may derive from inherent complexity of the surgical setting and team dynamics unique to laparoscopic procedures.
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Metadata
Title
Surgical team composition differs between laparoscopic and open procedures
Authors
Bin Zheng
Eric Fung
Bo Fu
Neely M. Panton
Lee L. Swanström
Publication date
01-08-2015
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 8/2015
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-014-3938-3

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