Outcome | Abdominal surgeon volume | P value | Laparoscopic surgeon volume | P value | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Low | Intermediate | High | Low | Intermediate | High | |||||||||
N | % | N | % | N | % | N | % | N | % | N | % | |||
Any 1 complication | 148 | 3.06a | 168 | 3.42a | 96 | 2.01b | < 0.001 | 137 | 5.19 | 150 | 5.69 | 148 | 5.16 | 0.62 |
Intraoperative complication | 27 | 0.56 | 32 | 0.65 | 16 | 0.33 | 0.08 | 39 | 1.48 | 24 | 0.91 | 44 | 1.53 | 0.09 |
Ureteral injury | 15 | 0.31ab | 22 | 0.45a | 8 | 0.16b | 0.045 | 28 | 1.06 | 14 | 0.53 | 24 | 0.84 | 0.10 |
Bladder injury | 3 | 0.06 | 4 | 0.08 | 1 | 0.02 | 0.55 | 3 | 0.11 | 4 | 0.15 | 8 | 0.28 | 0.34 |
Bowel injury | 0 | 0 | 2 | 0.04 | 0 | 0 | 0.33 | 1 | 0.04 | 1 | 0.04 | 4 | 0.14 | 0.38 |
Vascular injury | 9 | 0.18 | 2 | 0.04 | 5 | 0.10 | 0.10 | 4 | 0.15 | 4 | 0.15 | 7 | 0.24 | 0.69 |
Obturator nerve injury | 0 | 0 | 2 | 0.04 | 2 | 0.04 | 0.48 | 5 | 0.19 | 1 | 0.04 | 2 | 0.07 | 0.24 |
Stomach injury | 0 | 0 | 0 | 0 | 0 | – | – | 1 | 0.04 | 0 | 0 | 0 | 0 | 0.65 |
Postoperative complication | 122 | 2.52a | 141 | 2.87a | 81 | 1.69b | < 0.001 | 102 | 3.86 | 127 | 4.81 | 110 | 3.83 | 0.12 |
Bowel obstruction | 46 | 0.95ab | 63 | 1.28a | 29 | 0.61b | 0.003 | 18 | 0.68 | 18 | 0.68 | 21 | 0.73 | 0.97 |
Pelvic hematoma | 1 | 0.02 | 1 | 0.02 | 0 | 0 | 0.99 | 0 | 0 | 2 | 0.08 | 0 | 0 | 0.11 |
Hemorrhage | 3 | 0.06 | 3 | 0.06 | 1 | 0.02 | 0.71 | 5 | 0.19 | 3 | 0.11 | 5 | 0.17 | 0.83 |
Vesicovaginal fistula | 8 | 0.16 | 9 | 0.18 | 6 | 0.13 | 0.81 | 19 | 0.72 | 17 | 0.64 | 24 | 0.84 | 0.71 |
Ureterovaginal fistula | 9 | 0.19ab | 21 | 0.43a | 6 | 0.13b | 0.007 | 27 | 1.02a | 47 | 1.78b | 31 | 1.08a | 0.02 |
Rectovaginal fistula | 1 | 0.02 | 2 | 0.04 | 1 | 0.02 | 0.99 | 3 | 0.11 | 3 | 0.11 | 3 | 0.10 | 0.99 |
Ureteral fistula | 3 | 0.06 | 3 | 0.06 | 1 | 0.02 | 0.71 | 4 | 0.15 | 2 | 0.08 | 2 | 0.07 | 0.67 |
Venous thromboembolism | 51 | 1.05 | 43 | 0.88 | 37 | 0.77 | 0.34 | 28 | 1.06 | 38 | 1.44 | 24 | 0.84 | 0.10 |
Chylous leakage | 1 | 0.02 | 0 | 0 | 0 | 0 | 0.66 | 3 | 0.11 | 5 | 0.19 | 3 | 0.10 | 0.69 |
Other | ||||||||||||||
Death | 0 | 0 | 0 | 0 | 2 | 0.04 | 0.11 | 0 | 0 | 1 | 0.04 | 1 | 0.03 | 0.77 |