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Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Medicine / Faculty of Medicine >
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Does the experience of the first assistant affect organ injuries in laparoscopic hysterectomy for benign diseases?
| Title: | Does the experience of the first assistant affect organ injuries in laparoscopic hysterectomy for benign diseases? |
| Authors: | Tsuzuki, Yoko Browse this author | | Hirata, Takumi Browse this author | | Tsuzuki, Shinya Browse this author | | Wada, Shinichiro Browse this author | | Tamakoshi, Akiko Browse this author →KAKEN DB |
| Keywords: | Assistant | | Complication | | Hysterectomy | | Laparoscopy | | Organ injury |
| Issue Date: | 1-Feb-2023 |
| Publisher: | Springer |
| Journal Title: | Archives of Gynecology and Obstetrics |
| Volume: | 307 |
| Issue: | 2 |
| Start Page: | 453 |
| End Page: | 458 |
| Publisher DOI: | 10.1007/s00404-022-06745-4 |
| Abstract: | Purpose This study sought to explore whether the experience level of the first assistant surgeon influences perioperative organ injuries (ureteral, bladder, and intestinal injuries) in patients undergoing total laparoscopic hysterectomy (TLH) for benign diseases. We defined an experienced surgeon as a surgeon certified by the Skill Qualification Committee of the Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy or a surgeon with equivalent surgical skills. Methods We reviewed our surgical registry database of TLH for benign indications between 2014 and 2020 and only selected cases performed by an experienced primary surgeon. Patients were divided into two groups based on the experience level of the first assistant. Inverse probability of treatment weighting by propensity score, which was adjusted for patient and procedure characteristics, was used to examine differences in perioperative organ injuries according to the experience level of the first assistant. Results Among 1682 patients who underwent TLH, 18 organ injuries were found (0.83%). In the propensity score inverse probability of treatment weighting models, less experience of the first assistant had no significant impact on the occurrence of perioperative organ injuries (p = 0.348). Conclusion In TLH for benign indications at our hospital, given an experienced primary surgeon, the inclusion of a less experienced first assistant does not negatively affect the occurrence of perioperative organ injuries. |
| Type: | article |
| URI: | http://hdl.handle.net/2115/88795 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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