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World Journal of Surgery

Published in:

01-03-2010

Training Higher Surgical Trainees in Laparoscopic Common Bile Duct Exploration

Authors: Matthew G. Tutton, Nikhil Pawa, Tan H. A. Arulampalam, Roger W. Motson

Published in: World Journal of Surgery | Issue 3/2010

Abstract

Background

Laparoscopic common bile duct (CBD) exploration is regarded as a safe, definitive procedure for ductal calculi, avoiding the complications of endoscopic retrograde cholangiopancreatography. We aimed to evaluate the outcomes of laparoscopic CBD exploration carried out by trainees compared to those of an experienced consultant (R.W.M.).

Methods

A prospective database of all cases of laparoscopic CBD exploration over a 15-year period was analyzed retrospectively. All patients underwent a four-port technique and intraoperative cholangiography. Patient demographics, operative technique, success, and complications were analyzed.

Results

The median age of patients undergoing laparoscopic CBD exploration was 65 years (range 14–94 years). In all, 187 (79%) of the CBD explorations were performed by one consultant and 48 (21%) by trainees. Calculi were successfully cleared in 141 (88%) and 43 (96%), respectively. There were two (<1%) conversions to an open procedure in the total group. The median operating time was 130 minutes in the consultant group versus 150 minutes in the trainee group (p < 0.05, Mann-Whitney U-test). There was no significant difference in CBD clearance rate, surgical approach, or complication rate between consultant and trainees (Fisher’s exact test).

Conclusions

Laparoscopic CBD exploration is a safe procedure in both consultant and trainee hands. With appropriate training, surgical trainees can achieve equivalent outcomes in CBD clearance with no significant difference in complication rates.

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Title: Training Higher Surgical Trainees in Laparoscopic Common Bile Duct Exploration
Authors: Matthew G. Tutton
Nikhil Pawa
Tan H. A. Arulampalam
Roger W. Motson
Publication date: 01-03-2010
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 3/2010
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-009-0335-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Training Higher Surgical Trainees in Laparoscopic Common Bile Duct Exploration

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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