Laparoscopic Elective Colorectal Procedures Performed by Supervised Residents Are Safe and Sufficient.

NCT ID: NCT06622720

Last Updated: 2025-01-24

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 498 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2022-01-01
• Study Completion Date: 2023-12-31

Brief Summary

The ability to perform laparoscopic colorectal surgery is an essential attribute of a general surgeon. Data on the participation of residents and the outcomes of colorectal procedures performed by surgeons in training are in demand. The objective of this study is to comprehensively investigate the outcomes of colorectal procedures performed by general surgery residents supervised by experienced colorectal surgeons and assess their previous laparoscopic experience.

Detailed Description

The ability to perform laparoscopic colorectal surgery is an essential attribute of a general surgeon. Residents' contribution to colorectal procedures ranges from 33 to 40%. Few papers describe the outcomes of treatment provided by residents. The learning curve in colorectal techniques requires 88 to 152 cases to reach proficiency. Data on the participation of residents and the outcomes of procedures performed by surgeons in training are in demand. The objective of this study is to comprehensively investigate the outcomes of colorectal procedures performed by general surgery residents supervised by experienced colorectal surgeons and assess their previous laparoscopic experience. A retrospective single-center analysis was performed based on a review of database records. It included 498 elective colorectal procedures performed in a high-volume colorectal surgery center, where over 200 procedures are performed each year. The study included all individuals undergoing elective colorectal resection due to cancer between January 2022 and December 2023. 43 procedures were performed by residents and 455 by experienced colorectal surgeons. The procedures were performed by five experienced colorectal surgeons and three residents in their third to sixth year of surgical training. When performing evaluated procedures, residents were performed under the surveillance of experienced colorectal surgeons, according to Polish law requirements.

Conditions

Surgical Training; Residency

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: RETROSPECTIVE

Study Groups

Residents

Individuals undergoing elective colorectal resection due to cancer performed by residents between January 2022 and December 2023.

surgery

Intervention Type: PROCEDURE

The colorectal surgery of any type conducted in any approach in the timeframe

Colorectal surgeons

Individuals undergoing elective colorectal resection due to cancer performed by experienced colorectal surgeons between January 2022 and December 2023.

surgery

Intervention Type: PROCEDURE

The colorectal surgery of any type conducted in any approach in the timeframe

Interventions

surgery

The colorectal surgery of any type conducted in any approach in the timeframe

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• all individuals undergoing elective colorectal resection due to cancer between January 2022 and December 2023 in a single colorectal center.

Exclusion Criteria

• stoma creation
• a history of inflammatory bowel disease
• a history of bowel resection

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Jagiellonian University

OTHER

Sponsor Role: lead

Responsible Party

Zofia Orzeszko

MD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Mirosław Szura, Prof, PhD

Role: STUDY_CHAIR

Jagiellonian University

Locations

Hospital of St John of God

Krakow, Lesser Poland Voivodeship, Poland

Countries

Poland

References

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Bustamante Recuenco C, Alonso-Lamberti Rizo L, Salazar Carrasco A, Valle Rubio A, Cendrero Martin M, Jimenez Carneros V, Ramos Rodriguez JL, Jimenez Miramon FJ. Resident training in colorectal laparoscopic surgery: A retrospective morbidity, mortality and survival analysis of 408 cases in our environment. Cir Esp (Engl Ed). 2022 Sep;100(9):555-561. doi: 10.1016/j.cireng.2022.06.016. Epub 2022 Jun 11.

Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

PMID: 22513427 (View on PubMed)

Other Identifiers

2024.000.463

Identifier Type: -

Identifier Source: org_study_id