Zero operative mortality rate in 109 consecutive elective aortic operations performed by residents.

M. M. Sedwitz, R. J. Hye, J. A. Freischlag, B. E. Stabile

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

One hundred and nine consecutive elective abdominal aortic operations were performed at the Veterans Administration Medical Center San Diego between 1984 and 1987. All of the operating surgeons were residents in general surgery who were assisted by attending staff. The mean age of the patients was 66.1 years and 34 patients were 70.0 years or older. The indication for operation was aortic aneurysm in 69 and aortoiliac occlusive disease in 40. Fifteen patients underwent highly complex procedures. The mean duration of operation was 5.6 hours, mean aortic clamp time was 72 minutes and mean volume of blood replacement was 1,186 milliliters. There was no operative mortality. Twenty-nine patients had 32 nonfatal complications. Patency of the graft was 100 per cent at discharge. We conclude that excellent clinical results with complex elective aortic operations can be achieved by surgical residents with appropriate supervision.

Original languageEnglish (US)
Pages (from-to)385-389
Number of pages5
JournalSurgery Gynecology and Obstetrics
Volume170
Issue number5
StatePublished - May 1990

Fingerprint

Mortality
United States Department of Veterans Affairs
Aortic Aneurysm
Blood Volume
Transplants
Surgeons

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Sedwitz, M. M., Hye, R. J., Freischlag, J. A., & Stabile, B. E. (1990). Zero operative mortality rate in 109 consecutive elective aortic operations performed by residents. Surgery Gynecology and Obstetrics, 170(5), 385-389.

Zero operative mortality rate in 109 consecutive elective aortic operations performed by residents. / Sedwitz, M. M.; Hye, R. J.; Freischlag, J. A.; Stabile, B. E.

In: Surgery Gynecology and Obstetrics, Vol. 170, No. 5, 05.1990, p. 385-389.

Research output: Contribution to journalArticle

Sedwitz, MM, Hye, RJ, Freischlag, JA & Stabile, BE 1990, 'Zero operative mortality rate in 109 consecutive elective aortic operations performed by residents.', Surgery Gynecology and Obstetrics, vol. 170, no. 5, pp. 385-389.
Sedwitz, M. M. ; Hye, R. J. ; Freischlag, J. A. ; Stabile, B. E. / Zero operative mortality rate in 109 consecutive elective aortic operations performed by residents. In: Surgery Gynecology and Obstetrics. 1990 ; Vol. 170, No. 5. pp. 385-389.
@article{04aa9acc3491461c8e67a5107ba0f78f,
title = "Zero operative mortality rate in 109 consecutive elective aortic operations performed by residents.",
abstract = "One hundred and nine consecutive elective abdominal aortic operations were performed at the Veterans Administration Medical Center San Diego between 1984 and 1987. All of the operating surgeons were residents in general surgery who were assisted by attending staff. The mean age of the patients was 66.1 years and 34 patients were 70.0 years or older. The indication for operation was aortic aneurysm in 69 and aortoiliac occlusive disease in 40. Fifteen patients underwent highly complex procedures. The mean duration of operation was 5.6 hours, mean aortic clamp time was 72 minutes and mean volume of blood replacement was 1,186 milliliters. There was no operative mortality. Twenty-nine patients had 32 nonfatal complications. Patency of the graft was 100 per cent at discharge. We conclude that excellent clinical results with complex elective aortic operations can be achieved by surgical residents with appropriate supervision.",
author = "Sedwitz, {M. M.} and Hye, {R. J.} and Freischlag, {J. A.} and Stabile, {B. E.}",
year = "1990",
month = "5",
language = "English (US)",
volume = "170",
pages = "385--389",
journal = "Journal of the American College of Surgeons",
issn = "1072-7515",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Zero operative mortality rate in 109 consecutive elective aortic operations performed by residents.

AU - Sedwitz, M. M.

AU - Hye, R. J.

AU - Freischlag, J. A.

AU - Stabile, B. E.

PY - 1990/5

Y1 - 1990/5

N2 - One hundred and nine consecutive elective abdominal aortic operations were performed at the Veterans Administration Medical Center San Diego between 1984 and 1987. All of the operating surgeons were residents in general surgery who were assisted by attending staff. The mean age of the patients was 66.1 years and 34 patients were 70.0 years or older. The indication for operation was aortic aneurysm in 69 and aortoiliac occlusive disease in 40. Fifteen patients underwent highly complex procedures. The mean duration of operation was 5.6 hours, mean aortic clamp time was 72 minutes and mean volume of blood replacement was 1,186 milliliters. There was no operative mortality. Twenty-nine patients had 32 nonfatal complications. Patency of the graft was 100 per cent at discharge. We conclude that excellent clinical results with complex elective aortic operations can be achieved by surgical residents with appropriate supervision.

AB - One hundred and nine consecutive elective abdominal aortic operations were performed at the Veterans Administration Medical Center San Diego between 1984 and 1987. All of the operating surgeons were residents in general surgery who were assisted by attending staff. The mean age of the patients was 66.1 years and 34 patients were 70.0 years or older. The indication for operation was aortic aneurysm in 69 and aortoiliac occlusive disease in 40. Fifteen patients underwent highly complex procedures. The mean duration of operation was 5.6 hours, mean aortic clamp time was 72 minutes and mean volume of blood replacement was 1,186 milliliters. There was no operative mortality. Twenty-nine patients had 32 nonfatal complications. Patency of the graft was 100 per cent at discharge. We conclude that excellent clinical results with complex elective aortic operations can be achieved by surgical residents with appropriate supervision.

UR - http://www.scopus.com/inward/record.url?scp=0025426894&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025426894&partnerID=8YFLogxK

M3 - Article

C2 - 2326719

AN - SCOPUS:0025426894

VL - 170

SP - 385

EP - 389

JO - Journal of the American College of Surgeons

JF - Journal of the American College of Surgeons

SN - 1072-7515

IS - 5

ER -