Resultados de la participación de médicos residentes en el tratamiento quirúrgico de la litiasis vesicular.

Translated title of the contribution: Results of the participation of resident physicians in the surgical treatment of gallbladder lithiasis

A. González Ojeda, M. F. Herrera Hernández, G. Torres Mejía, Alberto M Odor, L. de la Garza Villaseñor

Research output: Contribution to journalArticle

Abstract

The aim of this retrospective study was to evaluate the impact of resident participation in the results of surgical treatment in 1149 consecutive patients operated for biliary disease between January, 1980 and December, 1987 at the Instituto Nacional de la Nutrición "Salvador Zubirán". Patients were divided in three groups: GROUP I. 640 cases treated by surgical residents under a senior surgeon supervision. GROUP II. 168 patients operated by the chief surgical resident. GROUP III. 341 patients treated by senior staff surgeons. Age, sex and risk factors were similar between groups. Residents performed more operative cholangiograms (p less than 0.05). In general, senior surgeons performed more transduodenal sphincteroplasties (p less than 0.05) and other additional procedures like appendectomies and gastrostomies during the same surgery. Wound infection was more frequent in group III patients (p less than 0.005) but there was no significant clinical difference in other postoperative complications like intraabdominal abscess, bile fistula, wound dehiscence, intraabdominal bleeding, iatrogenic injury of the biliary tract, and residual common duct stone. The duration of the in-hospital convalescence period was similar in all three groups. The mortality rate for the total series was 2.2%. In group II there were more patients affected for acute cholecystitis, and more patients died postoperatively (p = less than 0.01). We may consider this difference attributable to the more complex patients handled by the chief resident. Mortality rate among patients with chronic biliary tract disease was less than 1%. We were not able to demonstrate any significant difference in mortality and complication rates between those patients operated by residents, chief residents and senior surgeons.(ABSTRACT TRUNCATED AT 250 WORDS)

Translated title of the contributionResults of the participation of resident physicians in the surgical treatment of gallbladder lithiasis
Original languageSpanish
Pages (from-to)338-345
Number of pages8
JournalRevista de Investigacion Clinica
Volume43
Issue number4
StatePublished - Oct 1991
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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    González Ojeda, A., Herrera Hernández, M. F., Torres Mejía, G., Odor, A. M., & de la Garza Villaseñor, L. (1991). Resultados de la participación de médicos residentes en el tratamiento quirúrgico de la litiasis vesicular. Revista de Investigacion Clinica, 43(4), 338-345.