Journal of the American College of Surgeons
The most recent articles from:
J. Am. Coll. Surg.
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Historical Article
The American College of Surgeons publications: a brief history.
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Multicenter Study Comparative Study
Effects of resident involvement on complication rates after laparoscopic gastric bypass.
Although resident involvement has been shown to be safe for most procedures, the impact of residents on outcomes after complex laparoscopic procedures is not well understood. We sought to examine the impact of resident involvement on outcomes after bariatric surgery using a population-based clinical registry. ⋯ Resident involvement in laparoscopic gastric bypass is independently associated with wound infections and venous thromboembolism. The effect appears to be mediated in part by longer operative times. These findings highlight the importance of strategies to assess and improve resident technical proficiency outside the operating room.