Authors: Baron, Ryan; Sujendran, Vijay; Maynard, Nicholas

Source: Annals of The Royal College of Surgeons of England, Volume 90, Number 4, May 2008 , pp. 305-309(5)

Publisher: The Royal College of Surgeons of England

Abstract:

INTRODUCTION: Surgical training is threatened by anxieties about trainees performing major procedures. We have analysed the outcome of oesophagectomies performed by a consultant surgeon and compared these to the performance of trainees (years 4-6) operating under direct supervision.

PATIENTS AND METHODS: Data were collected retrospectively in a computerised database on all patients who underwent oesophagectomy at a teaching tertiary centre between December 1997 and April 2004 with a minimum 15 months' follow-up. Analysis of outcome was according to measures of technical adequacy, postoperative course, histological analysis, recurrence and survival.

RESULTS: During the study period, 241 oesophagectomies were carried out; 157 (65.1%) of these procedures were performed by the consultant and 84 (34.9%) were performed by surgeons-in-training under direct consultant supervision. Pre-operative, technical adequacy, postoperative course, histological analysis, recurrence and survival were comparable in both groups.

CONCLUSIONS: These data demonstrate comparable patient outcome when suitably experienced trainees are supervised in performing oesophagectomies and support its continued use in operative training.

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Keywords: OESOPHAGUS; TRAINEE; SURGERY

Document Type: Research article

DOI: http://dx.doi.org/10.1308/003588408X285919

Affiliations: 1: Oxford OesophagoGastric Unit, The John Radcliffe Hospital, Oxford, UK

Publication date: 2008-05-01

More about this publication?

• The Annals of The Royal College of Surgeons of England is the official journal of the College and is published eight times a year in January, March, April, May, July, September, October and November. The main aim of the journal is to publish high quality, peer-reviewed papers that relate to all branches of surgery.
  
  The Annals also includes letters and comments, a regular technical section, NICE news, controversial topics, CORESS feedback, book reviews and the best trainee presentations from England and Wales. The editorial board is composed of members of the College Council and experts from across the surgical specialties.
  
  Archive issues of the Annals of The Royal College of Surgeons of England are available via the PubMed Central database
  
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