Does the Endoscopic Surgical Skill Qualification System Improve Patients' Outcome Following Laparoscopic Surgery for Colon Cancer? A Multicentre, Retrospective Analysis with Propensity Score Matching

Overview

Journal World J Surg Oncol

Publisher Biomed Central

Specialties General Surgery
Oncology

Date 2021 Feb 20

PMID 33608034

Citations 12

Authors

Keisuke Kazama

Masakatsu Numata

Toru Aoyama

Yosuke Atsumi

Hiroshi Tamagawa

Teni Godai

Hiroyuki Saeki

Yusuke Saigusa

Manabu Shiozawa

Norio Yukawa

Munetaka Masuda

Yasushi Rino

Affiliations

Soon will be listed here.

Abstract

Background: This study aimed to investigate the short-term and oncological impact of the Endoscopic Surgical Skill Qualification System (ESSQS) by the Japan Society for Endoscopic Surgery on the operator performing laparoscopic surgery for colon cancer.

Methods: This retrospective cohort study was based on medical records from a multicentre database. A total of 417 patients diagnosed with stage II/III colon and rectosigmoid cancer treated with curative resection were divided into two groups according to whether they were operated on by qualified surgeons (Q group, n=352) or not (NQ group, n=65). Through strict propensity score matching, 98 cases (49 in each group) were assessed.

Results: Operative time was significantly longer in the NQ group than in the Q group (199 vs. 168 min, p=0.029). The amount of blood loss, post-operative complications, and duration of hospitalisation were similar between both groups. No mortality was observed. One conversion case was seen in the NQ group. The 3-year recurrence-free survival rate was 86.6% in the NQ group and 88.2% in the Q group, which was not statistically significant (log-rank p=0.966).

Conclusion: Direct operation by ESSQS-qualified surgeons contributed to a shortened operation time. Under an organised educational environment, almost equivalent safety and oncological outcomes are expected regardless of the surgeon's qualifications.

Citing Articles

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Ou Y, Yang Y, Yang W, Pan Y, Tian W, Wang Z Front Oncol. 2024; 14:1411817.

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Effect of endoscopic surgical skill qualification system for laparoscopic rectal surgery: Japanese multicenter analysis.

Ono R, Nonaka T, Tominaga T, Ishii M, Hisanaga M, Araki M Surg Endosc. 2024; 39(1):394-400.

PMID: 39562345 DOI: 10.1007/s00464-024-11407-4.

Impact of Endoscopic Surgical Skill Qualification System-certified surgeons as operators in laparoscopic rectal cancer surgery in Japan: A propensity score-matched analysis (subanalysis of the EnSSURE study).

Kojo K, Yamanashi T, Homma S, Yamamoto M, Miura T, Ishii Y Ann Gastroenterol Surg. 2024; 8(6):1046-1055.

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Sanmoto Y, Goto Y, Masumoto K Surg Today. 2024; .

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