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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.


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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