Laparoscopic appendectomy as an initial step in independent laparoscopic surgery by surgical residents

Zvi H. Perry, Uri Netz, Solly Mizrahi, Leonid Lantsberg, Boris Kirshtein

    Research output: Contribution to journalArticlepeer-review

    18 Scopus citations

    Abstract

    Background: Laparoscopic appendectomy (LA) can be used as a training model for the start of the independent experience of young residents. We tried to evaluate whether LA is a risk factor for patients when it is done by novice surgeons during the different steps of their training. Materials and Methods: A retrospective study of all the patients who underwent LA in our department between 2000 and 2008 was conducted. The patients were operated on by novice surgeons, chief residents, and senior surgeons. Preoperative variables were compared, as well as surgical outcomes and complications. Results: During the study period, 477 LA, were performed on 320 women and 157 men, with a mean age of 39 years. In 11 cases (2.3%), the operation was converted. No difference was found in preoperative patient status. There was no difference between groups in the rate of accurate preoperation diagnosis, in comparison with the pathologic report. The rates of conversion, postoperative complications, and negative appendectomies were similar between residents and seniors. These findings were also found in a subgroup analysis, in which we compared each group. Conclusions: There is no additional risk in a LA done by a resident, whether a chief or a novice. LA is a good model for training young surgeons in laparoscopic surgery: It enables the young surgeon to engage and lead a real case and does not imbue any risk upon the patient.

    Original languageEnglish
    Pages (from-to)447-450
    Number of pages4
    JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
    Volume20
    Issue number5
    DOIs
    StatePublished - 1 Jun 2010

    ASJC Scopus subject areas

    • Surgery

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