Less Surgical Experience Has no Impact on Mortality and Morbidity After Laparoscopic Cholecystectomy: A Prospective Cohort Analysis
Research output: Contribution to journal › Journal article › Research › peer-review
BACKGROUND: The number of cholecystectomies required to be fully educated as a surgeon has not yet been established. The European Association for Endoscopic Surgery, however, claims that inadequate experience is a risk factor for bile duct injury. The objective was to investigate surgical experience as a risk factor after laparoscopic cholecystectomy.
METHODS: A prospective cohort study using the Danish Cholecystectomy Database to generate a cohort including adults treated with laparoscopic cholecystectomy from 2006 to 2011. The relationship between surgeons' level of experience and outcomes were evaluated.
RESULTS: Surgical inexperience was not a risk factor for mortality and morbidity. The risk of conversion was however higher when the patients were operated by more experienced surgeons with an odds ratio of 1.80 (95% confidence interval, 1.51-2.14). Surgical inexperience was not a risk factor for bile duct injury.
CONCLUSION: We found that low surgical experience did not by itself increase the risk of mortality or morbidity.
| Original language | English |
|---|---|
| Journal | Surgical Laparoscopy, Endoscopy and Percutaneous Techniques |
| Volume | 25 |
| Issue number | 6 |
| Pages (from-to) | 492-5 |
| Number of pages | 4 |
| ISSN | 1530-4515 |
| Publication status | Published - Dec 2015 |
ID: 162747132