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16.07.2020 | Original Article

Safety assessment of open appendectomies for complicated acute appendicitis in children: a comparison of trainees and specialists

verfasst von: George Vaos, Nick Zavras, Anastasia Dimopoulou, Emmanouil Iakomidis, George Pantalos, Alexander Passalides

Erschienen in: Pediatric Surgery International | Ausgabe 10/2020

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Abstract

Purpose

The aim of this study was to compare the outcome of children with complicated acute appendicitis (CAA) who underwent open appendectomy (OA) performed either by trainees under the direct supervision of an SPS, or an SPS.

Methods

Two hundred thirty eight patients with CAA were reviewed operated on either by a junior trainee (JT) or a senior trainee (ST) under the direct supervision of an SPS or by an SPS. The outcome measures were the overall rate of complications, operative time (OT), length of hospital stay (LHS) and 30-day readmission rate.

Results

No statistical differences were observed between the three groups regarding the overall complication rates and 30-day readmission rate. Although, no statistical differences were observed in the mean OT between the three groups, the mean OT for perforated appendicitis (PA) performed by JTs was significantly longer than when performed by SPSs (p 0.012). Furthermore, there was a statistically significant difference between JTs and SPSs in terms of LHS for patients with PA (p 0.028).

Conclusion

This study suggests that no statistical differences were observed between the supervised trainees and SPSs regarding the overall complication rate and 30-readmission rate when they performed OA for GA or PA except of a longer OT and LHS for PA performed by JTs.

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Titel: Safety assessment of open appendectomies for complicated acute appendicitis in children: a comparison of trainees and specialists
verfasst von: George Vaos
Nick Zavras
Anastasia Dimopoulou
Emmanouil Iakomidis
George Pantalos
Alexander Passalides
Publikationsdatum: 16.07.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 10/2020
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-020-04713-0

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Safety assessment of open appendectomies for complicated acute appendicitis in children: a comparison of trainees and specialists