Safe implementation of laparoscopic transabdominal preperitoneal repair for groin hernias by surgical residents in Japan: a single-center retrospective study
- 03.06.2025
Erschienen in:
- Verfasst von
- Yosuke Kobayashi
- Susumu Shibasaki
- Ayaka Ito
- Yeongcheol Cheong
- Yusuke Umeki
- Kenichi Nakamura
- Takeshi Takahara
- Koki Otsuka
- Ichiro Uyama
- Koichi Suda
- Erschienen in
- Surgical Endoscopy | Ausgabe 7/2025
Abstract
Purpose
To develop an educational program that enables young surgeons to safely perform laparoscopic transabdominal preperitoneal repair (TAPP).
Methods
This retrospective study comprised 365 patients who underwent elective TAPP performed by surgical residents (SRs; n = 145 patients) and board-certified surgeons (BCSs; n = 220 patients) from January 2018 to December 2023. An educational program for SRs has been underway since April 2021 to facilitate efficient learning and ensure the safe performance of TAPP. This program comprises four steps and highlights the two points mentioned, including understanding technical principles and acquiring fundamental skills. The surgical outcomes of laparoscopic TAPP performed by SRs and BCSs were compared retrospectively.
Results
A total of 43 operators (16 SRs and 27 BCSs) performed the laparoscopic TAPP. The SRs demonstrated longer operative times (median 126 vs. 98 min; p < 0.01). No significant differences in the rates of seroma (7.6% vs. 5.5%), grade IIIa or higher Clavien–Dindo complications (early: 0.7 vs. 0.9%; late: 0.7% vs. 0%), and recurrence at 1 year after surgery (1.4% vs. 0.5%) were observed between the SR and BCSs groups. Following the implementation of the educational program in April 2021, laparoscopic TAPP procedures performed by SRs were associated with significantly shorter operation times compared to those conducted before the program was introduced.
Conclusions
SRs who received presurgical education improved the operative time in laparoscopic TAPP, although with intraoperative guidance from Endoscopic Surgical Skill Qualification System-qualified surgeons.
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- Titel
- Safe implementation of laparoscopic transabdominal preperitoneal repair for groin hernias by surgical residents in Japan: a single-center retrospective study
- Verfasst von
-
Yosuke Kobayashi
Susumu Shibasaki
Ayaka Ito
Yeongcheol Cheong
Yusuke Umeki
Kenichi Nakamura
Takeshi Takahara
Koki Otsuka
Ichiro Uyama
Koichi Suda
- Publikationsdatum
- 03.06.2025
- Verlag
- Springer US
- Erschienen in
-
Surgical Endoscopy / Ausgabe 7/2025
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218 - DOI
- https://doi.org/10.1007/s00464-025-11814-1
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