Impact of the Number of Board-Certified Pediatric Surgeons per Pediatric Population on the Outcomes of Laparoscopic Fundoplication for Neurologically Impaired Patients
Impact of the Number of Board-Certified Pediatric Surgeons per Pediatric Population on the Outcomes of Laparoscopic Fundoplication for Neurologically Impaired Patients
复制标题
每个儿科人群中经过委员会认证的小儿外科医生数量对神经受损患者腹腔镜胃底折叠术结果的影响
DOI：
10.1089/lap.2021.0713
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Ieiri Satoshi
中科院分区：
文献类型：
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作者：
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
背景和目的：在日本，委员会认证的儿科外科医生（BCPS）的分布存在高度偏倚。M州是每个儿科人群中BCPS数量最少的州之一，而邻近的K州是每个儿科人群中BCPS数量最多的州之一。我们研究了BCPS人群对腹腔镜手术和术后管理及outcome.Materials和Methods的影响：我们比较了2006年至2019年在两个县接受腹腔镜胃底折叠术的神经功能受损患者的术后持续时间、全剂量肠内营养、术后住院时间和并发症。平均手术时间为248.8 ± 79.9分钟（PrefectureM）和260.8 ± 94.8分钟（P= 0.64）。全剂量肠内营养的中位天数在M和10 inK（P= 0.29）。中位术后住院时间在M州为14天，在K州为15天（P= .38）。术后并发症发生率，州市7例，州市10例。PrefectureM的发生率显著高于inK（P= .041）。结论：BCPS数量不足的地区在腹腔镜手术中的并发症风险高于数量充足的地区。
Background and Aim:The distribution of board-certified pediatric surgeons (BCPSs) in Japan is highly biased. While PrefectureMhas one of the smallest numbers of BCPSs per pediatric population, neighboring PrefectureKhas 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 PrefectureMand 63 inK. The mean operative time was 248.8 ± 79.9 minutes in PrefectureMand 260.8 ± 94.8 inK(P= .64). The median number of days to full-dose enteral nutrition was 11.5 in PrefectureMand 10 inK(P= .29). The median postoperative hospital stay was 14 days in PrefectureMand 15 days inK(P= .38). Postoperative complications occurred in 7 cases in PrefectureMand in 10 inK. The incidence was significantly higher in PrefectureMthan inK(P= .041).Conclusion:Areas with insufficient numbers of BCPSs have a higher risk of complications in laparoscopic surgery than areas with sufficient numbers.