論文

国際誌
2022年2月25日

Impact of the Number of Board-Certified Pediatric Surgeons per Pediatric Population on the Outcomes of Laparoscopic Fundoplication for Neurologically Impaired Patients.

Journal of laparoendoscopic & advanced surgical techniques. Part A
  • Ryuta Masuya
  • Mitsuru Muto
  • Kazuhiko Nakame
  • Masakazu Murakami
  • Koshiro Sugita
  • Keisuke Yano
  • Shun Onishi
  • Toshio Harumatsu
  • Koji Yamada
  • Waka Yamada
  • Makoto Matsukubo
  • Tatsuru Kaji
  • Atsushi Nanashima
  • Satoshi Ieiri
  • 全て表示

32
5
開始ページ
571
終了ページ
575
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1089/lap.2021.0713

Background and Aim: The distribution of board-certified pediatric surgeons (BCPSs) in Japan is highly biased. While Prefecture M has one of the smallest numbers of BCPSs per pediatric population, neighboring Prefecture K has one of the largest numbers of BCPSs per pediatric population. We examined the effect of BCPSs population on laparoscopic surgery and postoperative management and outcomes. Materials and Methods: We compared postoperative duration to full-dose enteral nutrition, postoperative hospital stay, and complications of neurologically impaired patients who underwent laparoscopic fundoplication in two prefectures from 2006 to 2019. Results: Laparoscopic fundoplication was performed in 17 patients in Prefecture M and 63 in K. The mean operative time was 248.8 ± 79.9 minutes in Prefecture M and 260.8 ± 94.8 in K (P = .64). The median number of days to full-dose enteral nutrition was 11.5 in Prefecture M and 10 in K (P = .29). The median postoperative hospital stay was 14 days in Prefecture M and 15 days in K (P = .38). Postoperative complications occurred in 7 cases in Prefecture M and in 10 in K. The incidence was significantly higher in Prefecture M than in K (P = .041). Conclusion: Areas with insufficient numbers of BCPSs have a higher risk of complications in laparoscopic surgery than areas with sufficient numbers.

リンク情報
DOI
https://doi.org/10.1089/lap.2021.0713
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/35230180
ID情報
  • DOI : 10.1089/lap.2021.0713
  • PubMed ID : 35230180

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