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GRIFFITHS ISDE 2025 Complications and Surgeons 2 недели назад

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GRIFFITHS ISDE 2025 Complications and Surgeons

At the ISDE meeting in Brisbane Australia in September 2025 Prof Griffiths presented the work of his trainees on the psychological impact of complications on surgeons who perform oesophageal cancer surgery. The Abstract of the talk is copied below and was published in the Dis Esophagus Journal THE EFFECT OF COMPLICATIONS ON THE OESOPHAGEAL CANCER SURGEON: A SURVEY EXPLORING THE IMPACT ON PROFESSIONAL AND PERSONAL LIFE Ewen Griffiths, Svetlana Lakunina, Sivesh Kathir Kamarajah, Richard Evans University Hospitals Birmingham, Birmingham, UK Background: Oesophagectomy is one of the highest risk surgical procedures and complications are common. While patient safety remains the primary focus, the impact on surgeons—the so-called ‘second victims’—is often overlooked. Evidence suggests that a large proportion of surgeons experience emotional, professional, and social consequences following adverse outcomes. The effects on oesophageal cancer surgeons have not been studied. Our aims were 1) to explore the effect of complications on personal and professional wellbeing and 2) identify systems and support required to help surgeons. Methods: An online survey was distributed globally to practising oesophageal cancer surgeons. The survey contained questions on demographics, the impact of surgical complications on personal and professional wellbeing, current support systems available, and what are the unmet needs in helping surgeons managing complications. Results: A total of 86 responses were received from 28 countries. The median number of oesophagectomies performed were 18 (range 2–90)/annually. The complications with the most significant impact included patient mortality, gastric conduit necrosis and tracheobronchial injury. 74.4% reported changes in personal relationships and 68.6% experienced workplace pressures. Coping strategies were 20.9% started dual operating, 18.6% performed supervised procedures, and 10.5% sought additional training. 2.3% took time off work and 2.3% stopped performing oesophagectomy. Support was obtained from colleagues (74.6%) or family (30.2%). However, 27.9% sought no support. 55.8% felt they received adequate support. 44.2% felt well- supported institutionally. Conclusion: Complications after oesophagectomy significantly affect surgeons’ emotional wellbeing and clinical practice. While peer support was valued, many felt under-supported institutionally. These findings highlight the need for structured support systems to protect surgeon wellbeing and maintain safe surgical standards.

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