Publications by authors named "Andrew Gudgeon"
Article Synopsis
- The study analyzed the effects of The National Training Program for Lapco on laparoscopic surgery rates and clinical outcomes among colorectal surgeons in England, comparing trained Lapco delegates with non-Lapco surgeons.
- Results showed a significant 37.8% increase in laparoscopic surgery by Lapco surgeons, alongside a notable decrease in 30-day and 90-day mortality rates, indicating improved patient outcomes post-training.
- Overall, the findings suggest that the Lapco training program effectively enhances surgical techniques and outcomes, with competency assessments being predictive of performance improvements after training.
Background: Individual trials comparing hand-sewn with stapled closure of loop ileostomy show different outcomes due to lack of statistical power. A systematic review, with a pooled analysis of results, might provide a more definitive answer. This review aimed to compare hand-sewn with stapled anastomotic technique for closure of a loop ileostomy and looked at the effect of bowel resection on the complication rates.
View Article and Find Full Text PDFObjectives: To develop, validate, and implement a competency assessment tool (CAT) for technical surgical performance in the context of a summative assessment process for the National Training Programme in Laparoscopic Colorectal Surgery (NTP).
Background: The NTP is an educational initiative by the National Cancer Action Team in England to safely increase the uptake of laparoscopic colorectal surgery. It is the first competency-based national educational initiative for specialist surgeons (consultants), and performance assessment is an integral part of the program.
Background: Surgical trauma suppresses host immune function, potentially creating an environment vulnerable to tumor cell growth. This study compared immune function after laparoscopy, minilaparotomy, and conventional colorectal tumor resections.
Methods: Seventy-one patients underwent surgery (20 laparoscopy, 21 minilaparotomy, and 30 conventional).