RESIDENT INVOLVEMENT IN CHOLECYSTECTOMY: A RISK OR AN OPPORTUNITY? joramartinezmar@unal.edu.co

PE035

RESIDENT INVOLVEMENT IN CHOLECYSTECTOMY: A RISK OR AN OPPORTUNITY?

1

Colombia

Poster with Discussion

Biliary disease has an increasing prevalence worldwide, making cholecystectomy one of the most commonly performed procedures by general surgeons, as well as by trainees such as surgical residents. The objective of this study was to evaluate the impact of trainee participation on the clinical outcomes of patients undergoing cholecystectomy.

A retrospective cohort analysis was conducted on patients who underwent cholecystectomy between June 2019 and July 2020. The role of the surgical resident was evaluated in relation to clinical outcomes in these patients, in order to determine whether it was associated with intraoperative or postoperative complications

A total of 482 patients who underwent cholecystectomy were included, 475 were treated laparoscopically. 62.5% were women, and 76.2% of the procedures were urgent. In 96% of cases, a resident participated in the procedure. No statistically significant differences were found in the bivariate analysis regarding adverse clinical outcomes.

This study is the first of its kind in Latin America and demonstrated that, in our institution, resident participation was not associated with adverse outcomes such as bile duct injury, conversion to open surgery, or reoperation. Additionally, it provides relevant data regarding the resident’s role by year of training, the technical complexity of the procedure based on intraoperative findings, and the level of attending supervision.