Our Summary

This study looked at whether having trainee surgeons involved in a specific type of stomach surgery (D2 gastrectomies) affects the outcome for patients. They looked at data from surgeries performed between 2009 and 2014 and compared results from operations carried out by experienced surgeons to those where trainees were involved.

The key findings were that there was no significant difference in how long the surgery took, how many lymph nodes were removed, how long patients stayed in the hospital, or in the rates of complications or deaths between the two groups. They also found no difference in the predicted survival rates five years after the surgery. Interestingly, they found that surgeries involving trainee surgeons actually had lower average blood loss.

The conclusion from this study is that having trainee surgeons involved in these operations, under the supervision of experienced surgeons, does not negatively impact the outcomes for patients.

FAQs

  1. Does the involvement of trainee surgeons in D2 gastrectomies impact the surgery outcomes?
  2. Was there any difference in the predicted survival rates five years after the surgery between operations carried out by experienced surgeons and those involving trainees?
  3. Did surgeries involving trainee surgeons have a lower average blood loss than those performed by experienced surgeons?

Doctor’s Tip

However, it is important to follow your doctor’s instructions carefully after a gastrectomy. This may include following a specific diet plan, taking medications as prescribed, and attending follow-up appointments. It is also important to listen to your body and report any unusual symptoms or side effects to your healthcare provider promptly. Remember to take care of yourself and prioritize your recovery after surgery.

Suitable For

Gastrectomy is typically recommended for patients with certain types of stomach cancer, such as gastric adenocarcinoma, as well as for patients with certain benign conditions of the stomach, such as peptic ulcers or gastric outlet obstruction. Patients who have not responded to other treatments, such as chemotherapy or radiation therapy, may also be recommended for gastrectomy.

In general, patients who are otherwise healthy and able to tolerate surgery are good candidates for gastrectomy. However, the decision to undergo gastrectomy should be made on a case-by-case basis, taking into consideration the individual patient’s overall health, age, and specific condition.

Timeline

Before gastrectomy:

  1. Patient meets with a healthcare provider to discuss symptoms and potential need for surgery.
  2. Patient undergoes various tests and imaging studies to confirm the need for gastrectomy.
  3. Patient receives preoperative instructions and prepares for surgery, including fasting and stopping certain medications.
  4. Surgery is scheduled and patient meets with the surgical team to discuss the procedure and ask any questions.

After gastrectomy:

  1. Patient undergoes the gastrectomy surgery, which involves the removal of part or all of the stomach.
  2. Patient is monitored closely in the recovery room and may stay in the hospital for a few days to recover.
  3. Patient may experience side effects such as pain, nausea, and changes in diet following the surgery.
  4. Patient will have follow-up appointments with the surgical team to monitor healing and discuss any concerns.
  5. Patient may need to adjust their diet and lifestyle to accommodate for the changes in their digestive system.
  6. Over time, the patient will gradually recover and adapt to life after gastrectomy, with ongoing support from healthcare providers.

What to Ask Your Doctor

Some questions a patient should ask their doctor about gastrectomy include:

  1. What is the reason for recommending a gastrectomy in my case?
  2. Are there any alternative treatment options to consider before proceeding with gastrectomy?
  3. How experienced is the surgical team that will be performing the gastrectomy?
  4. Will there be trainee surgeons involved in my surgery, and if so, what level of supervision will they have?
  5. What are the potential risks and complications associated with gastrectomy?
  6. What is the expected recovery time and post-operative care plan?
  7. How will my diet and lifestyle need to be modified after the surgery?
  8. What are the long-term outcomes and potential side effects of gastrectomy?
  9. Are there support groups or resources available for patients who have undergone gastrectomy?
  10. How often will follow-up appointments be needed to monitor my progress after the surgery?

Reference

Authors: Navidi M, Madhavan A, Griffin SM, Prasad P, Immanuel A, Hayes N, Phillips AW. Journal: BJS Open. 2020 Feb;4(1):86-90. doi: 10.1002/bjs5.50219. Epub 2019 Nov 6. PMID: 32011816