• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • SAGES 2021 Annual Meeting
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2021
      • SAGES 2020
      • SAGES 2019
      • SAGES 2018
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • SAGES Logo Products
    • “Unofficial” Logo Products
  • Log In

Is It Safty That Laparoscopic Colectomy Performed by Biginner Surgeons with An Assist by a Technical Qualified Surgeon?

Nobuki Ichikawa1, Shigenori Homma1, Tadashi Yoshida1, Yosuke Ohno1, Hideki Kawamura1, Tomohiro Ishikawa2, Takashi Suzuki2, Takeshi Tsuji2, Masashi Ohira2, Yo Kamiizumi2, Akinobu Taketomi2. 1Department of Gastroenterological Surgery 1, Graduate School of Medicine, Hokkaido University,, 2Department of Surgery, Iwamizawa Municipal Hospital

INTRODUCTION: Laparoscopic colectomy has been widely spreading, and acquisition of its technique is concerned even for young surgeons. However, the safety of laparoscopic colectomy performed by beginner laparoscopic surgeon is questionable. We have been promoting to provide experiences of laparoscopic colectomy to young surgeons. In this study, we report the safety of laparoscopic colectomy performed by beginner surgeons.

METHODS AND PROCEDURES: Right colectomy and high anterior resection (because they are relatively easy procedures in laparoscopic colon cancer operations) were selected to the education surgery for beginner laparoscopic surgeon. A qualified laparoscopic surgeon in the Endoscopic Surgical Skill Qualification System (Japan Society for Endoscopic Surgery) always participated in operations as the teaching assistant. Twenty-three right colectomies and 19 high anterior resections were performed by beginner surgeons as the main surgeon between 2014 and 2016. Five trainees, who had 3-10 years prior experiences as surgeons, performed operations under teaching by qualified surgeon in this term.

RESULTS: Each trainee performed 13, 4, 3, 2 and 1 right colectomies and 7, 6, 4, 2 and 0 high anterior resections, respectively. In right colectomy, 11 males and 12 females were included. Mean age and body mass index were 79 and 23.2, respectively. Advanced cancer was diagnosed in 18 cases (78%) and mean tumor size was 50 mm. D2 or D3 lymph node dissection (according to the Japanese Society for Cancer of the Colon and Rectum guidelines) with functional end-to-end anastomosis were performed in all cases. The mean operation time and blood loss were 200 min and 73 mL, respectively. One patient was required conversion to open surgery due to the adhesion. Postoperative morbidities were occurred in two cases (small bowel obstruction and abdominal abscess). In high anterior resection, 9 males and 10 females were included. Mean age and body mass index were 72 and 22.1, respectively. Advanced cancer was diagnosed in 18 cases (68%) and mean tumor size was 33 mm. D2 or D3 lymph node dissection with anastomosis by double stapling technique were performed in all cases. The mean operation time and blood loss were 242 min and 27 mL, respectively. One patient was required conversion to open surgery due to the adhesion. No postoperative complication occurred.

CONCLUSION: Laparoscopic colectomy was safely performed by beginner laparoscopic surgeons as long as assisting by qualified surgeon.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 78781

Program Number: P297

Presentation Session: Poster (Non CME)

Presentation Type: Poster

40

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2017 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Surgery is Safer with Vaccination 1

Addressing Religious Concerns About COVID-19 Vaccine

This may be a difficult subject matter for you and your patient to talk about.  Be assured, all major organized religious groups encourage and recommend the COVID-19 vaccine. Listed below are references and websites you can direct your patient towards to help them make an informed decision with regards to their religious concerns against the […]

SAGES Statement on AAPI Violence

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) stands in solidarity with the Asian American and Pacific Islander (AAPI) community. In the summer of 2020, SAGES released a statement condemning the violence, racism, and hatred toward the Black community in the wake of George Floyd and Breonna Taylor’s murders. It is with great sorrow […]

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
[email protected]
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2022 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2022 Society of American Gastrointestinal and Endoscopic Surgeons