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J Surg Educ. 2008 Sep-Oct;65(5):346-9. doi: 10.1016/j.jsurg.2008.06.004.

Impact of laparoscopic cholecystectomy on resident training: fifteen years later.

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  • 1Department of Surgery, Wright State University, Dayton, Ohio 45409, USA. meghan.obryan@wright.edu

Abstract

Laparoscopic cholecystectomy was first introduced to our surgical community in 1989. In 1993, McKellar reviewed the impact of laparoscopic cholecystectomy on 1 specific surgical training program. Fifteen years later, the authors reexamined the implications of laparoscopic surgery on resident competency with both open and laparoscopic biliary procedures. The data reveal a statistically significant increase in the percentage of laparoscopic cholecystectomies performed when compared with total cholecystectomies (open plus laparoscopic), as well as a trend toward decreasing numbers of total common bile duct explorations performed. A review of the literature that pertains to changes in resident training as related to laparoscopic procedures is included.

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