PMID: 9448124Jun 1, 1997Paper

Chief resident experience with laparoscopic cholecystectomy

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
G S FerzliF Sabido

Abstract

Resident competence in both open and laparoscopic cholecystectomy (LC) has been a concern among general surgeons. Laparoscopic surgery was late in coming at many surgical residency programs in the United States, and many residents have graduated with limited experience in LC. We are chief residents who were fortunate enough to start our training when LC was first introduced at our institution in 1990. This report summarizes our experience with LC in our chief year, during which we performed LC on 147 patients. The average operating time was 37 minutes (range, 12-82 minutes). Six patients (4%) required conversion to an open procedure. There were three complications (2 postoperative cystic duct leaks and 1 intraoperative common bile duct injury) for an overall complication rate of 2%. There was no mortality. It is our conclusion that graduating chief residents with 5 years' exposure to LC may perform the procedure with a complication rate comparable to that reported in the current literature. Insuring that graduating chief residents have adequate training in open cholecystectomy may become a more pressing issue in the near future.

References

Mar 1, 1992·Annals of Surgery·A M DavidoffW C Meyers
Mar 1, 1992·Annals of Surgery·A R MoossaH D'Agostino
Apr 1, 1992·AJR. American Journal of Roentgenology·A T WalkerS S Tumeh
May 1, 1992·Archives of Surgery·R L RossiJ L Munson
Jun 1, 1992·Archives of Surgery·M T NelsonS J Mulvihill
Mar 1, 1991·American Journal of Surgery·G Berci, J M Sackier
Oct 1, 1991·Archives of Surgery·B M WolfeC F Frey
Oct 1, 1991·Annals of Surgery·R W BaileyA L Imbembo
Jul 1, 1991·Annali italiani di chirurgia·R Vecchioni
Nov 1, 1990·American Journal of Surgery·E J Reddick, D O Olsen
Nov 1, 1990·Canadian Operating Room Nursing Journal·S Gabriel
May 1, 1993·Archives of Surgery·D G ClairD C Brooks
Jan 1, 1996·Surgical Endoscopy·M A FiorilloR J Silich
Feb 1, 1996·Journal of Laparoendoscopic Surgery·G FerzliT Kiel
Jul 1, 1992·Annals of the Royal College of Surgeons of England·A G JohnsonA W Majeed

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Citations

Sep 11, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Terrence M FullumPatricia L Turner
Jan 18, 2006·The Journal of Surgical Research·David S KauvarMichael Harnisch
Aug 5, 2009·Journal of the American College of Surgeons·Nader N MassarwehDavid R Flum
Oct 26, 2001·The Journal of Surgical Research·W N WangR S Haluck
Apr 30, 2002·Spine·Stephen P BancoSheila Murphey

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