Resident participation in laparoscopic Roux-en-Y gastric bypass: a comparison of outcomes from the ACS-NSQIP database

Surgical Endoscopy

Volumn 30, Issue 8, 2016, Pages 3216-3224

  Doyon, Laura ^a,c   Moreno Koehler, Alejandro ^b   Ricciardi, Rocco ^a   Nepomnayshy, Dmitry ^a  

^a LAHEY HOSPITAL AND MEDICAL CENTER   (United States)

^b Tufts Clinical and Translational Science Institute   (United States)

^c EMERSON HOSPITAL   (United States)

Author keywords

Gastric bypass; NSQIP; Resident participation

Indexed keywords

ADULT; ADVERSE OUTCOME; ARTICLE; ARTIFICIAL VENTILATION; BODY MASS; DEEP VEIN THROMBOSIS; DIABETES MELLITUS; FEMALE; FOLLOW UP; HEALTH PERSONNEL ATTITUDE; HEART ARREST; HOSPITAL READMISSION; HUMAN; HYPERTENSION; INTRAOPERATIVE PERIOD; INTUBATION; KIDNEY FAILURE; LAPAROSCOPIC SURGERY; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MORBIDITY; MORTALITY; OPERATION DURATION; OUTCOME ASSESSMENT; PNEUMONIA; POSTOPERATIVE INFECTION; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; RESIDENCY EDUCATION; RESIDENT; RESIDENT PARTICIPATION; ROUX Y ANASTOMOSIS; SEPSIS; SEPTIC SHOCK; SUPERFICIAL SITE INFECTION; SURGICAL INFECTION; URINARY TRACT INFECTION; WOUND DEHISCENCE; COMPARATIVE STUDY; EDUCATION; FACTUAL DATABASE; GASTRIC BYPASS SURGERY; GENERAL SURGERY; HEALTH CARE QUALITY; INCIDENCE; LAPAROSCOPY; MEDICAL EDUCATION; MIDDLE AGED; MULTIVARIATE ANALYSIS; OBESITY, MORBID; OPERATING ROOM; POSTOPERATIVE COMPLICATIONS; PROCEDURES; RENAL INSUFFICIENCY; RETROSPECTIVE STUDY; SURGEON; SURGICAL WOUND INFECTION; TREATMENT OUTCOME; UNITED STATES; URINARY TRACT INFECTIONS;

ADULT; DATABASES, FACTUAL; FEMALE; GASTRIC BYPASS; GENERAL SURGERY; HUMANS; INCIDENCE; INTERNSHIP AND RESIDENCY; LAPAROSCOPY; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; OBESITY, MORBID; OPERATING ROOMS; OPERATIVE TIME; POSTOPERATIVE COMPLICATIONS; QUALITY OF HEALTH CARE; RENAL INSUFFICIENCY; RETROSPECTIVE STUDIES; SEPSIS; SURGEONS; SURGICAL WOUND INFECTION; TREATMENT OUTCOME; UNITED STATES; URINARY TRACT INFECTIONS;

EID: 84946422805     PISSN: 09302794     EISSN: 14322218     Source Type: Journal    
DOI: 10.1007/s00464-015-4627-6     Document Type: Article

References (19)

1. Wheeler HB (1993) Myth and reality in general surgery. Bull Am Coll Surg 78:21–27
2. Mattar SG, Alseidi AA, Jones DB, Jeyarajah DR, Swanstrom LL, Aye RW, Wexner SD, Martinez JM, Ross SB, Awad MM, Franklin ME, Arregui ME, Schirmer BD, Minter RM (2013) General surgery residency inadequately prepares trainees for fellowship: results of a survey of fellowship program directors. Ann Surg 258:440–449
3. CMS Manual System (2006) https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/r811cp.pdf
4. Igwe E, Hernandez E, Rose S, Uppal S (2014) Resident participation in laparoscopic hysterectomy: impact of trainee involvement on operative times and surgical outcomes. Am J Obstet Gynecol 211(484):e1–e7
5. Davis SS Jr, Husain FA, Lin E, Nandipati KC, Perez S, Sweeney JF (2013) Resident participation in index laparoscopic general surgical cases: impact of the learning environment on surgical outcomes. J Am Coll Surg 216:96–104
6. Advani V, Ahad S, Gonczy C, Markwell S, Hassan I (2012) Does resident involvement effect surgical times and complication rates during laparoscopic appendectomy for uncomplicated appendicitis? An analysis of 16,849 cases from the ACS-NSQIP. Am J Surg 203:347–351 (discussion 351–352)
7. Gorgun E, Benlice C, Corrao E, Hammel J, Isik O, Hull T, Remzi FH (2014) Outcomes associated with resident involvement in laparoscopic colorectal surgery suggest a need for earlier and more intensive resident training. Surgery 156:825–832
8. Ross SW, Oommen B, Kim M, Walters AL, Green JM, Heniford BT, Augenstein VA (2014) A little slower, but just as good: postgraduate year resident versus attending outcomes in laparoscopic ventral hernia repair. Surg Endosc 28:3092–3100
9. Krell RW, Birkmeyer NJ, Reames BN, Carlin AM, Birkmeyer JD, Finks JF, Collaborative Michigan Bariatric Surgery (2014) Effects of resident involvement on complication rates after laparoscopic gastric bypass. J Am Coll Surg 218:253–260
10. Cohen ME, Ko CY, Bilimoria KY, Zhou L, Huffman K, Wang X, Liu Y, Kraemer K, Meng X, Merkow R, Chow W, Matel B, Richards K, Hart AJ, Dimick JB, Hall BL (2013) Optimizing ACS NSQIP modeling for evaluation of surgical quality and risk: patient risk adjustment, procedure mix adjustment, shrinkage adjustment, and surgical focus. J Am Coll Surg 217(336–46):e1
11. Tseng WH, Jin L, Canter RJ, Martinez SR, Khatri VP, Gauvin J, Bold RJ, Wisner D, Taylor S, Chen SL (2011) Surgical resident involvement is safe for common elective general surgery procedures. J Am Coll Surg 213:19–26 (discussion 26–28)
12. Iordens GI, Klaassen RA, van Lieshout EM, Cleffken BI, van der Harst E (2012) How to train surgical residents to perform laparoscopic Roux-en-Y gastric bypass safely. World J Surg 36:2003–2010
13. Fanous M, Carlin A (2012) Surgical resident participation in laparoscopic Roux-en-Y bypass: is it safe? Surgery 152:21–25
14. Longitudinal Assessment of Bariatric Surgery (LABS) Consortium, Flum DR, Belle SH, King WC, Wahed AS, Berk P, Chapman W, Pories W, Courcoulas A, McCloskey C, Mitchell J, Patterson E, Pomp A, Staten MA, Yanovski SZ, Thirlby R, Wolfe B (2009) Perioperative safety in the longitudinal assessment of bariatric surgery. N Engl J Med 361:445–454
15. Zhao Y, Encinosa W (2007) Statistical Brief #23: Bariatric surgery utilization and outcomes in 1998 and 2004. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb23.jsp
16. Metabolic and Bariatric Surgery Fact Sheet (2013). https://asmbs.org/wp/uploads/2014/05/Metabolic+Bariatric-Surgery.pdf
17. Finks JF, Carlin A, Share D, O’Reilly A, Fan Z, Birkmeyer J, Birkmeyer N, Michigan Bariatric Surgery Collaborative from the Michigan Surgical Collaborative for Outcomes Research Evaluation (2011) Effect of surgical techniques on clinical outcomes after laparoscopic gastric bypass–results from the Michigan Bariatric surgery collaborative. Surg Obes Relat Dis 7:284–289
18. Parina RP, Chang DC, Rose JA, Talamini MA (2015) Is a low readmission rate indicative of a good hospital? J Am Coll Surg 220:169–176
19. Etzioni DA, Wasif N, Dueck AC, Cima RR, Hohmann SF, Naessens JM, Mathur AK, Habermann EB (2015) Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. JAMA 313(5):505–511