PT  - JOURNAL ARTICLE
AU  - Ryan J. McColl
AU  - Abdel Aziz M. Shaheen
AU  - Balpreet Brar
AU  - Gilaad Kaplan
AU  - Robert Myers
AU  - Francis Sutherland
AU  - Elijah Dixon
TI  - Survival after hepatic resection: impact of surgeon training on long-term outcome
AID  - 10.1503/cjs.023611
DP  - 2013 Aug 01
TA  - Canadian Journal of Surgery
PG  - 256--262
VI  - 56
IP  - 4
4099  - http://canjsurg.ca/content/56/4/256.short
4100  - http://canjsurg.ca/content/56/4/256.full
SO  - CAN J SURG2013 Aug 01; 56
AB  - Background: Mortality for liver resection has remarkably improved owing to multiple factors. We sought to determine the impact of the various types of fellowship training on patient survival after liver resection.Methods: Patients who underwent hepatic resection between 1995 and 2004 in either the Calgary or Capital health regions (Edmonton) of Alberta, Canada, were identified using ICD-9 and -10 codes. Primary outcomes included in-hospital mortality and patient survival according to surgeon volume and training type (surgical oncology v. hepatobiliary v. others).Results: A total of 1033 patients underwent hepatic resection. Surgeon volume was not predictive of either in-hospital mortality (adjusted odds ratio 0.63, 95% confidence interval [CI] 0.32–1.20) or patient survival (unadjusted hazard ratio 1.11, 95% CI 0.82–1.51). Nonsignificance was also demonstrated for a surgeon’s type of fellowship training.Conclusion: The various modes of fellowship training do not appear to influence inhospital mortality or patient survival after hepatic resection.