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Surg Endosc. 2003 Jan;17(1):111-4. Epub 2002 Sep 23.

Role of appendectomy in training for laparoscopic surgery.

Author information

1
Servicio de Cirugía General y Aparato Digestivo I, Hospital Universitario Virgen de la Arrixaca, Carretera de Cartagena, s/n, El Palmar, 30120 Murcia, Spain. med018949@saludalia.com

Abstract

BACKGROUND:

This study aimed to evaluate a program of training in laparoscopic surgery based on clinical practice in the emergency room, in which laparoscopic appendectomy is the first technique that residents perform as surgeons.

METHODS:

A prospective nonrandomized study was conducted involving all the laparoscopies performed in emergencies with a diagnosis of acute abdomen, appendicular in origin, during the period between June 1991 and December 1997.

RESULTS:

There were no statistically significant differences between residents and assistants in terms of conversion rates (22/242 vs 15/158), mean hospital stay for each type of surgeon (5.2 days for residents and 5.1 days for assistants), and complications (12.8% for residents and 13.7% for assistants). Operating time, was significantly longer (p < 0.05) for residents (52.2 min) than for assistants (48 min).

CONCLUSIONS:

Apprenticeship in laparoscopic appendectomy can be accomplished with gradual clinical training and without the need for resort to animal experimentation laboratories.

PMID:
12239644
DOI:
10.1007/s00464-001-9199-y
[Indexed for MEDLINE]

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