Researchers used administrative healthcare databases in Ontario, Canada and analyzed 2,078 patients who underwent elective laparoscopic cholecystectomies. These 2,078 procedures were performed by 331 different surgeons who had operated the night before between midnight and 7 a.m. Each of these surgeries was randomly matched with four other elective laparoscopic cholecystectomies performed by the same surgeon who had not operated the night before.
The study found little difference in the surgeons’ performance — whether or not he had performed a surgery the night before — with regard to conversion rates to open operations, risk of iatrogenic injuries or death.
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