کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4278483 1611497 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Does practice make perfect? Resident experience with breast surgery influences excision adequacy
ترجمه فارسی عنوان
آیا تمرین کامل می شود؟ تجربه ساکنین با جراحی سینه بر کفایت اگزوز تأثیر می گذارد
کلمات کلیدی
آموزش رزمی حاشیه پستان، جراحی محافظت از پستان
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundThe adequacy of breast-conserving surgery (BCS) for invasive or in situ disease is largely determined by the final surgical margins. Although margin status is associated with various clinicopathologic features, the influence of resident involvement remains controversial.MethodsPatients who underwent BCS for malignancy from 2009 to 2012 were identified. The effects of various clinicopathologic characteristics and resident involvement were evaluated.ResultsOf the 502 cases performed, a resident assisted with most surgeries (95%). The overall rate of positive margins was 30%, which was not associated with resident involvement. Interns assisting from July to September had significantly lower rates of positive margins. Margins were more likely to be positive following any given resident's first 3 cases on their breast rotation than throughout the remainder of their rotation.ConclusionAlthough resident level alone does not influence the adequacy of BCS, experience gained over time does appear to be associated with lower rates of positive margins.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 209, Issue 3, March 2015, Pages 547–551
نویسندگان
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