The Balance Between Maintenance of Surgical Quality and Education of Young Surgeons

Abstract

In surgical training, it is very important to maintain the balance between providing training to young surgeons and maintaining surgical quality. In this study, we investigated the safety and efficacy of laparoscopic cholecystectomy (LC) performed by an attending doctor along with young surgeons. The patient background and intraoperative and postoperative factors were compared between 2 groups : the R group, in which LC was performed by an attending doctor and 2 young surgeons, and the S group, in which LC was performed by the same attending doctor with 1 young surgeon and an-other attending doctor. The operation time in the R group was longer than that in the S group, espe-cially in normal cases without cholecystitis. However, no significant intergroup differences were found in preoperative patient characteristics, intraoperative blood loss, and postoperative outcomes. Young surgeons can actively participate in LC, and it is more feasible for them to assist the attending doctor during the procedure.