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Effects of Surgical Assistant's Level of Resident Training on Surgical Treatment of Intermittent Exotropia: Operation Time and Surgical Outcomes
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논문 기본 정보

Type
Academic journal
Author
Journal
대한안과학회 Korean Journal of Ophthalmology Korean Journal of Ophthalmology 제32권 제1호 KCI Accredited Journals
Published
2018.1
Pages
59 - 64 (6page)

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Effects of Surgical Assistant's Level of Resident Training on Surgical Treatment of Intermittent Exotropia: Operation Time and Surgical Outcomes
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To evaluate the effects of the surgical assistant’s level of resident training on operation time and surgicaloutcome in the surgical treatment of intermittent exotropia. Methods: This study included 456 patients with intermittent exotropia who underwent lateral rectus recessionand medial rectus resection and were followed up for 24 months after surgery. The patients were divided intotwo groups according to the surgical assistant’s level of resident training: group F (surgery assisted by a firstyearresident [n = 198]) and group S (surgery assisted by a second-, third-, or fourth-year resident [n = 258]). The operation time and surgical outcomes (postoperative exodeviation and the number of patients who underwenta second operation) were compared between the two groups. Results: The average operation times in groups F and S were 36.54 ± 7.4 and 37.34 ± 9.94 minutes, respectively(p = 0.33). Immediate postoperative exodeviation was higher in group F (0.79 ± 3.82 prism diopters) than ingroup S (0.38 ± 3.75 prism diopters). However, repeated-measures analysis of variance revealed no significantdifference in exodeviation between the two groups during the 24-month follow-up period (p = 0.45). A secondoperation was performed in 29.3% (58 / 198) of the patients in group F, and in 32.2% (83 / 258) of those ingroup S (p = 0.51). Conclusions: No significant difference in operation time was observed when we compared the effects of thelevel of resident training in the surgical treatment of intermittent exotropia. Although the immediate postoperativeexodeviation was higher in patients who had undergone surgery assisted by a first-year resident, the surgicaloutcome during the 24-month follow-up was not significantly different.

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References (16)

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Gezer A / 2004 / Factors influencing the outcome of strabismus surgery in patients with exotropia / J AAPOS 8:56~60 Crossref Lim SH / 2012 / Prognostic factors for recurrence after bilateral rectus recession procedure in patients with intermittent exotropia / Eye (Lond) 26:846~852 Crossref Wright KW / 2012 / Pediatric ophthalmology and strabismus / Oxford University Press :306~316 google schola Kim YW / 2010 / The impact of incorporating of a novice assistant into a laparoscopic team on operative outcomes in laparoscopic sigmoidectomy: a prospective study / Surg Laparosc Endosc Percutan Tech 20:36~41 Crossref Scheer A / 2009 / Laparoscopic colon surgery: does operative time matter? / Dis Colon Rectum 52:1746~1752 Crossref

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