Associations between intraoperative factors and surgeons’ self-assessed operative satisfaction Journal Article


Authors: Erestam, S.; Bock, D.; Andersson, A. E.; Bjartell, A.; Carlsson, S.; Kollberg, K. S.; Sjoberg, D.; Steineck, G.; Stranne, J.; Thorsteinsdottir, T.; Tyritzis, S.; Lantz, A. W.; Wiklund, P.; Angenete, E.; Haglind, E.
Article Title: Associations between intraoperative factors and surgeons’ self-assessed operative satisfaction
Abstract: Background: Little is known concerning what may influence surgeon satisfaction with a surgical procedure and its associations with intraoperative factors. The objective was to explore the relationships between surgeons’ self-assessed satisfaction with performed radical prostatectomies and intraoperative factors such as technical difficulties and intraoperative complications as reported by the surgeon subsequent to the operation. Methods: We utilized prospectively collected data from the controlled LAPPRO trial where 4003 patients with prostate cancer underwent open (ORP) or robot-assisted laparoscopic (RALP) radical prostatectomy. Patients were included from fourteen centers in Sweden during 2008–2011. Surgeon satisfaction was assessed by questionnaires at the end of each operation. Intraoperative factors included time for the surgical procedure as well as difficulties and complications in various steps of the operation. To model surgeon satisfaction, a mixed effect logistic regression was used. Results were presented as odds ratios (OR) with 95% confidence intervals (CI). Results: The surgeons were satisfied in 2905 (81%) and dissatisfied in 702 (19%) of the surgical procedures. Surgeon satisfaction was not statistically associated with type of surgical technique (ORP vs. RALP) (OR 1.36, CI 0.76; 2.43). Intraoperative factors such as technical difficulties or complications, for example, suturing of the anastomosis was negatively associated with surgeon satisfaction (OR 0.24, CI 0.19; 0.30). Conclusions: Our data indicate that technical difficulties and/or intraoperative complications were associated with a surgeon’s level of satisfaction with an operation. © 2019, The Author(s).
Keywords: controlled study; cancer surgery; surgical technique; major clinical study; cancer patient; laparoscopic surgery; prospective study; quality of life; controlled clinical trial; prostate cancer; sweden; cost effectiveness analysis; questionnaire; intraoperative period; operation duration; surgeon; satisfaction; erectile dysfunction; self evaluation; peroperative complication; self-assessment; open surgery; operative blood loss; human; male; priority journal; article; robot-assisted prostatectomy; intraoperative factors; surgical performance; surgical satisfaction
Journal Title: Surgical Endoscopy
Volume: 34
Issue: 1
ISSN: 0930-2794
Publisher: Springer  
Date Published: 2020-01-01
Start Page: 61
End Page: 68
Language: English
DOI: 10.1007/s00464-019-06731-z
PUBMED: 30887183
PROVIDER: scopus
PMCID: PMC6946718
DOI/URL:
Notes: Source: Scopus
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  1. Daniel D. Sjoberg
    234 Sjoberg