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YAMAGUCHI SHIGEKI
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Professor and Division head |
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| Article types | Original article |
| Language | English |
| Peer review | Non peer reviewed |
| Title | Specialty-Certified Colorectal Surgeons Demonstrate Favorable Short-term Surgical Outcomes for Laparoscopic Low Anterior Resection: Assessment of a Japanese Nationwide Database |
| Journal | Formal name：Diseases of the colon and rectum Abbreviation：Dis Colon Rectum ISSN code：15300358/00123706 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 66(12),pp.e1217-e1224 |
| Author and coauthor | YAMAGUCHI Shigeki, ENDO Hideki, YAMAMOTO Hiroyuki, MORI Toshiyuki, MISAWA Takeyuki, INOMATA Masafumi, MIYATA Hiroaki, KAKEJI Yoshihiro, KITAGAWA Yuko, WATANABE Masahiko, SAKAI Yoshiharu |
| Authorship | Lead author,Corresponding author |
| Publication date | 2023/12 |
| Summary | BACKGROUND:There are few studies on the impact of a colorectal-specific technically certified surgeon on good surgical outcomes for laparoscopic low anterior resection in the real world.OBJECTIVE:To evaluate the short-term outcomes of laparoscopic low anterior resection with the participation of a certified colorectal surgeon.DESIGN:This was a retrospective cohort study using a Japanese nationwide database.SETTING:This study was conducted as a project for the Japan Society of Endoscopic Surgery and the Japanese Society of Gastroenterological Surgery.PATIENTS:This study included 41,741 patients listed in the National Clinical Database who underwent laparoscopic low anterior resection performed by certified, noncertified, and colorectal-specific certified surgeons, according to the Endoscopic Surgical Skill Qualification System, from 2016 to 2018.MAIN OUTCOME MEASURES:Operative mortality rate and anastomotic leak rate were the primary outcome measures.RESULTS:Overall 30-day mortality and operative mortality were 0.2% and 0.3%, respectively, without significant differences between all kinds of certified and noncertified surgeon groups. Overall anastomotic leak rate was 9.3%, with a significant difference between the 2 groups. Colorectal- and stomach-certified groups had lower 30-day mortality and operative mortality than the biliary-certified and noncertified groups. The anastomotic leak rate was the lowest in the colorectal-certified group. Based on a logistic regression analysis using the risk-adjusted model, operative mortality was significantly higher in the biliary-certified group than in the colorectal-certified group. Moreover, anastomotic leak rate was significantly lower in the colorectal-certified group than in the stomach-certified and noncertified groups.LIMITATIONS:This study was a retrospective study, and there was a possibility of different definitions of anastomotic leak due to the use of a nationwide database.CONCLUSIONS:The participation of a colorect |
| DOI | 10.1097/DCR.0000000000002952 |
| PMID | 37695677 |