Short-term outcome of diverting loop ileostomy reversals performed by residents: a retrospective cohort prognostic factor study
International journal of colorectal disease(2023)
摘要
im The reversal of diverting loop ileostomy (DLI) is one of surgical trainees’ first procedures. Complications of DLI reversal can cause life-threatening complications and increase patient morbidity. This study compared DLI reversals performed by surgical trainees with those by attending surgeons. Method This retrospective cohort study was performed at a single primary care center on 300 patients undergoing DLI reversal. The primary outcome was morbidity, according to the Clavien-Dindo classification (CDC), with special attention paid to the surgeon’s level of training. The secondary endpoint was postoperative intestinal motility dysfunction. Results Surgical trainees had significantly longer operation times ( p < 0.001) than attending surgeons. Univariate analyses revealed no influence on the level of training for postoperative morbidity. First bowel movement later than 3 days after surgery was a significant risk factor for CDC ≥ 3 (OR, 4.348; 96
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关键词
Diverting loop ileostomy,Education,Patient care,Resident involvement,Surgical trainee
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