1. Impact of technically qualified surgeons on laparoscopic colorectal resection outcomes: results of a propensity score‐matching analysis
- Author
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N. Ichikawa, S. Homma, T. Funakoshi, T. Ohshima, K. Hirose, K. Yamada, H. Nakamoto, K. Kazui, R. Yokota, T. Honma, Y. Maeda, T. Yoshida, T. Ishikawa, H. Iijima, T. Aiyama, and A. Taketomi
- Subjects
Surgery ,RD1-811 - Abstract
Background The Endoscopic Surgical Skill Qualification System (ESSQS) was introduced in Japan to improve the quality of laparoscopic surgery. This cohort study investigated the short‐ and long‐term postoperative outcomes of colorectal cancer laparoscopic procedures performed by or with qualified surgeons compared with outcomes for unqualified surgeons. Methods All laparoscopic colorectal resections performed from 2010 to 2013 in 11 Japanese hospitals were reviewed retrospectively. The procedures were categorized as performed by surgeons with or without the ESSQS qualification and patients' clinical, pathological and surgical features were used to match subgroups using propensity scoring. Outcome measures included postoperative and long‐term results. Results Overall, 1428 procedures were analysed; 586 procedures were performed with ESSQS‐qualified surgeons and 842 were done by ESSQS‐unqualified surgeons. Upon matching, two cohorts of 426 patients were selected for comparison of short‐term results. A prevalence of rectal resection (50·3 versus 40·5 per cent; P
- Published
- 2020
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