Reconstructive SurgeryComplete Excision of Nonmelanotic Skin Cancer: A Matter of Surgical ExperienceRiml, Stefan MD; Larcher, Lorenz MD; Kompatscher, Peter MDAuthor Information From the Department for Plastic, Aesthetic and Reconstructive Surgery, Academic Hospital Feldkirch, Feldkirch, Austria. Received March 15, 2011, and accepted for publication, after revision, April 29, 2011. Conflicts of interest and sources of funding: none declared. Reprints: Stefan Riml, MD, Department for Plastic, Aesthetic and Reconstructive Surgery, Academic Hospital Feldkirch, Carinagasse 47, A-6807 Feldkirch, Austria. E-mail: [email protected]. Annals of Plastic Surgery: January 2013 - Volume 70 - Issue 1 - p 66-69 doi: 10.1097/SAP.0b013e3182223d7b Buy Metrics Abstract Nonmelanotic skin cancer is the most common human neoplasia and its incidence is rising. The completeness of resection is the most important quality feature of surgical treatment of nonmelanotic skin cancer, as a complete resection distinctly reduces local recurrence. In this trial, we analyze the incomplete resection rate of nonmelanotic skin cancer (N = 524) through plastic surgery assistant doctors in the first 3 years of surgical training. We find that the incomplete resection rate of nonmelanotic skin cancer decreases significantly (P = 0.026) from mean 12.1% in the first year of training to mean 5.7% in the third year of training, despite a gain in difficulty level concerning tumor localization. Moreover, we identify the following tumor features as a risk factor for incomplete resection: facial tumors (P = 0.034), recurrent lesions (P = 0.032), and the tumor class of the superficial basal cell carcinoma (P = 0.010). We prove that complete excision of nonmelanotic skin cancer distinctly depends on the surgeon’s experience level. © 2013 Lippincott Williams & Wilkins, Inc.