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- Title
Impact of the Number of Board-Certified Pediatric Surgeons per Pediatric Population on the Outcomes of Laparoscopic Fundoplication for Neurologically Impaired Patients.
- Authors
Masuya, Ryuta; Muto, Mitsuru; Nakame, Kazuhiko; Murakami, Masakazu; Sugita, Koshiro; Yano, Keisuke; Onishi, Shun; Harumatsu, Toshio; Yamada, Koji; Yamada, Waka; Matsukubo, Makoto; Kaji, Tatsuru; Nanashima, Atsushi; Ieiri, Satoshi
- Abstract
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.
- Subjects
JAPAN; FUNDOPLICATION; PEDIATRIC surgeons; CHILD patients; PREOPERATIVE risk factors; SURGICAL complications; LAPAROSCOPIC surgery
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2022, Vol 32, Issue 5, p571
- ISSN
1092-6429
- Publication type
journal article
- DOI
10.1089/lap.2021.0713