International journal of pediatric otorhinolaryngology · 2026
Operative time and outcomes of intracapsular Tonsillectomy: Impact of patient factors and surgical trainee participation.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Heslop Gabriela, Soaper Ashley, Aklasu Gifty, Tabangin Meredith, Li Carol
Аннотация
OBJECTIVE: Intracapsular tonsillectomy (IT) is an increasingly utilized technique and was recently adopted in this quaternary care children's hospital. This study evaluates the impact of patient characteristics and surgical trainee participation on operating time and postoperative clinical outcomes in a cohort of children who underwent IT.
METHODS: A retrospective review was performed on patients ages <18 years who underwent IT from August 2023 to August 2024. Demographics, indications, trainee involvement, operative times, and postoperative complications were collected. Factors associated with operative times and complications were analyzed.
RESULTS: Two-hundred and thirty-six patients underwent IT. The mean age was 5.6 ± 2.7 years and 47.1% of participants were female. Indications for surgery were sleep disordered breathing (96.2%) and recurrent tonsillitis (8.9%). Ninety-one (38.4%) procedures were performed by a trainee (resident or fellow) under supervision. Operative time was significantly higher in procedures performed by trainees compared to those performed by attending surgeons alone (28.6 vs. 20.3 min, p < 0.001. Weight, BMI-Z, and recurrent tonsillitis diagnosis were not significantly associated with operative time. Post-tonsillectomy hemorrhage rate was 1.4%, with one (0.4%) patient returning to the operating room. All patients with hemorrhage underwent IT performed by an attending surgeon alone. No other postoperative complications were observed.
DISCUSSION: IT can be safely performed with trainees under supervision by an attending surgeon, without increased risk of adverse outcomes. Overall, postoperative complications are rare. Trainee involvement does confer increased operative time and can influence operating room efficiency.
METHODS: A retrospective review was performed on patients ages <18 years who underwent IT from August 2023 to August 2024. Demographics, indications, trainee involvement, operative times, and postoperative complications were collected. Factors associated with operative times and complications were analyzed.
RESULTS: Two-hundred and thirty-six patients underwent IT. The mean age was 5.6 ± 2.7 years and 47.1% of participants were female. Indications for surgery were sleep disordered breathing (96.2%) and recurrent tonsillitis (8.9%). Ninety-one (38.4%) procedures were performed by a trainee (resident or fellow) under supervision. Operative time was significantly higher in procedures performed by trainees compared to those performed by attending surgeons alone (28.6 vs. 20.3 min, p < 0.001. Weight, BMI-Z, and recurrent tonsillitis diagnosis were not significantly associated with operative time. Post-tonsillectomy hemorrhage rate was 1.4%, with one (0.4%) patient returning to the operating room. All patients with hemorrhage underwent IT performed by an attending surgeon alone. No other postoperative complications were observed.
DISCUSSION: IT can be safely performed with trainees under supervision by an attending surgeon, without increased risk of adverse outcomes. Overall, postoperative complications are rare. Trainee involvement does confer increased operative time and can influence operating room efficiency.