Pawel Bogacki, MD1, Jan M Krzak, MD2, Miroslaw Szura, MD, PhD3, Katarzyna Gotfryt-Bugajska, MD4. 1Jagiellonian University Medical College, 2South Jutland Hospital, Departament of Surgery, Aabenraa, Denmark, 3Department of Experimental and Clinical Surgery, Jagiellonian University, 4Department of General and Oncological Surgery, Hospital of Brothers Hospitallers of St. John of God, Krakow, Poland
Background: Common bile duct injury (CBDI) is one of the most severe complications of this surgery and it is estimated to occure in 0,3-1,5% of the cases. To minimize the occurrence of CBDI,the Society of American Gastrointestinal and Endoscopic Surgeons established a Safe Cholecystectomy Program, containing of Critical View Of Safety as well as 6 simple rules for surgeons to follow during laparoscopic cholecystectomy.
Aim: The study was designed to assess the knowledge of SCP among european surgeons (specialists and residents). Additionally,surgeons’ opinion on usefulness of each of the rules of SCP was gathered. The data were analyzed in terms of differences between residents and specialists. This is to set ground for and an educational program and increase the safety of elective laparoscopic cholecystectomy by minimizing the occurrence of CBDI.
Methods: The data on the knowledge of SCP and opinion on usefulness of its rules were gathered in form of an anonymous questionnaire distributed among participants of several surgical conferences in Poland. The questionnaire then asked about the surgeon’s experience in terms of cholecystectomies performed and the number of complications in form of CBDI.It then listed the SCP Rules and asked the surgeon about their opinion on usefulness of each of the rules on a 10-point scale. Gathered data were subject to statistical analysis and a comparison between specialists and residents was performed. The study has been registered in the ClinicalTrials.gov-NCT03155321.
Results: 184 complete questionnaires were gathered. 114(61,96%) specialists (72,8%male,mean age 50y) and 70(38,04%) residents (56%male, mean age 34y) completed the questionnaire. Mean work experience was 22years among specialists and 4.5years among residents. A relatively high percentage of specialists have experienced CBDI in their practice(46% vs.17% of residents,p=0.014). At the same time,significantly more specialists are accustomed with the SAGES SCP than residents (49.3% vs.21.7%,p=0.021),although these numbers are still low. Significant differences in the mean usefulness score between residents and specialists were observed in regard to two rules: rule 2 was found more useful by residents (mean score 7,07 vs.6,01,p=0.008), whereas rule 3 was found more useful by specialists (mean 8.74 vs.8.36,p=0.009).
Conclusions: The awareness of the SAGES Safe Cholecystectomy Program in Poland is still low and needs to be promoted. Both surgical residents and specialists consider the rules of SCP to be useful during surgery, although there are slight differences in the usefulness scores between the groups. An educational program to promote and further implement the SCP should be established.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87444
Program Number: P339
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster