Role of appendectomy in laparoscopic training

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Chong-Chi ChiuMing-Te Huang

Abstract

This study aimed to evaluate whether laparoscopic appendectomy is suitable for training residents to become proficient in laparoscopic surgery. A total of 1574 laparoscopic appendectomies were performed at En-Chu-Kong Hospital between January 1998 and December 2003 (788 men and 786 women). These cases were divided into three groups: 543 cases (in 1998-1999) performed by 5 attending surgeons during the learning and trial stage; 536 cases (in 2000-2001) performed by 5 attending surgeons assisted by 2 senior residents with prior experience in open appendectomy; and 495 cases (in 2002-2003) done by these 2 senior residents, supervised by the attending surgeons. Demographic data, intraoperative findings, operative time, conversion rate, frequency of analgesic injection, timing of oral intake, hospital stay, morbidity, and mortality were analyzed. There were no statistically significant differences in the operations performed by attending surgeons (mature stage) vs. senior residents in terms of intraoperative findings, operative time (60.1 +/- 60.4 minutes vs. 56.3 +/- 25.6 minutes), conversion rate (1.12% vs. 0.81%), frequency of analgesic injection (0.57 +/- 1.37 times/stay vs. 0.43 +/- 0.94 times/stay), timing of oral intake (23.7...Continue Reading

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Citations

Dec 17, 2009·International Journal of Surgery·Ching-Shui HsiehShou-Jen Kuo
Apr 1, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Abdulzahra HussainShamsi El-Hasani
Jun 10, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N VettorettoUNKNOWN Italian Association of Hospital Surgeons (Associazione dei Chirurghi Ospedalieri Italiani)
Jun 30, 2012·BMC Medicine·Renée M van der LeeuwMaas Jan Heineman
Dec 31, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Faisal M ShaikhCiaran O McDonnell
Oct 17, 2007·The British Journal of Surgery·H M PatersonS Paterson-Brown
Sep 18, 2009·Surgical Endoscopy·Yap Yan LinJimmy B Y So
Dec 15, 2010·Journal of the Korean Society of Coloproctology·Song Yi KimGi Bong Chae
Nov 19, 2010·Techniques in Coloproctology·N Vettoretto, F Agresta
Aug 15, 2014·Annals of Surgery·Peter SzaszTeodor P Grantcharov
Sep 5, 2018·Journal of Minimal Access Surgery·Kwang Yeol PaikSung Geun Kim
Apr 16, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Nicholas T VenthamCarlo Benzoni

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