A joint research group consisting of Kyoto University, the University of Tokyo, Osaka Medical and Pharmaceutical University, Gifu University, and the Japan Society of Gastroenterological Surgery has found that the surgical results of female gastroenterological surgeons are equivalent to those of male gastroenterological surgeons, which is the largest surgical database in Japan. It was clarified using the Clinical Database (NCD).
As of 2016, the percentage of female gastroenterological surgeons in Japan was reportedly 6%, which is lower than in other countries, and the number of female gastroenterological surgeons in leadership positions is even lower.Also, no studies have been conducted to show similar surgical outcomes between men and women, which would indicate that women are fully capable of being gastrointestinal surgeons.Therefore, in this study, we conducted a comparative study on the number of surgical operations and postoperative complications by male and female gastroenterological surgeons, aiming to promote women's participation in the field of gastrointestinal surgery.
Based on the data registered in NCD, Japan's largest surgical database by the Japan Society of Gastroenterological Surgery, from 2013 to 2017, in three surgical cases of pyloric side gastrectomy, total gastrectomy, and low anterior rectal resection Short-term results (surgical mortality, postoperative complications, pancreatic juice leakage, suture failure, etc.) were analyzed.Various factors influencing surgical outcomes, such as hospital size and patient background, were adjusted using a multivariate logistic regression model to examine significant differences between male and female gastroenterological surgeons.
The results of the study showed that short-term surgical outcomes of female gastroenterological surgeons were similar to those of males, with no statistically significant differences in the risk of complications or mortality between men and women.We also found that female gastroenterological surgeons were younger than males in the medical registry and were less likely to perform laparoscopic surgery, but operated on higher-risk patients.
From the above, it is thought that female gastroenterological surgeons can be expected to play an even greater role by increasing the surgical experience of female doctors to the same level as that of male doctors.To that end, it is hoped that the provision of equal educational opportunities for men and women and the creation of an environment to train more female surgeons will be possible.
Paper information:[The BMJ] A comparison of short-term surgical outcomes of male and female gastrointestinal surgeons in Japan: retrospective cohort study
