Jan Krzak, MD1, Ane Beck Jensen Vingborg, MD2, Ada Krzak3. 1Department of Surgery, Herning Hospital, Denmark, 2Department of Surgery, Viborg Hospital, Denmark, 3University of Cambridge, UK
Introduction: We aim to popularize SAGES Safe Cholecystectomy Program among Danish surgeons.
Method: In June 2016 a survey was conducted at a symposium about the surgical treatment of gallstones in Central Denmark Region. In the first part of the survey participants were asked questions about their knowledge and implementation of Danish and Tokyo guidelines in everyday practice together with questions about age, sex, experience, estimated number of performed cholecystectomies, and their experience of severe complications such as bile duct injuries and bile leaks. In the second part of the survey the strategies suggested by the SAGES Safe Cholecystectomy Program were presented, and the participants were asked to assess the importance of those strategies according to their personal experience on a scale from 0 to 9, 0 being completely irrelevant and 9 being absolutely crucial. Answers given by residents and attendings were then compared.
Results: All participants (50) at the symposium received the questionnaire. 84% (42) participants filled in the questionnaire, and 74% (37) were completed fully. Of the 37 completed questionnaires, 20 were completed by attendings and the remaining 17 by residents. The average age among attendings was 47.3 years and the average experience as surgeons was 16.1 years, while among residents the average age was 35.4 years and the average experience was 3.4 years. 25% of attendings were female compared to 71% of residents. Among residents 59% (11) had performed more than 50 cholecystectomies, none had performed over 500. Among attendings 25% (5) had performed more than 500. 20% (4) of attendings experienced bile duct injury during their career and 65% (13) experienced bile leaks, as compared to 0% of bile duct injury and 17.6% (3) of bile leaks among residents. 80% (16) of attendings knew and implemented Danish guidelines in daily practice, while 25% (5) also knew and implemented the Tokyo guidelines. Among residents corresponding numbers were 53% (9) and 12% (2).
All participants agreed that the strategies suggested by the SAGES Safe Cholecystectomy Program were very important with the average score varying from 7.45 to 8.65 among attendings and from 7.53 to 8.95 among residents.
Conclusion: The strategies listed by the SAGES Safe Cholecystectomy Program were unanimously voted very important by surgeons in Central Denmark Region. Popularizing SAGES Safe Cholecystectomy Program seems suitable to ensure greater safety in laparoscopic cholecystectomy. Another nationwide survey is scheduled at the next Danish Surgical Society meeting in November 2017.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 78927
Program Number: P116
Presentation Session: Poster (Non CME)
Presentation Type: Poster