RESIDENT EDUCATION IN LAPAROSCOPIC CHOLECYSTECTOMY

Citation
Rl. Friedman et Bw. Pace, RESIDENT EDUCATION IN LAPAROSCOPIC CHOLECYSTECTOMY, Surgical endoscopy, 10(1), 1996, pp. 26-28
Citations number
10
Categorie Soggetti
Surgery
Journal title
ISSN journal
09302794
Volume
10
Issue
1
Year of publication
1996
Pages
26 - 28
Database
ISI
SICI code
0930-2794(1996)10:1<26:REILC>2.0.ZU;2-0
Abstract
Background: Resident education in laparoscopic cholecystectomy (LC) wa s studied in a retrospective analysis of consecutive cases performed a t two academic institutions with different educational approaches. Met hods: Each procedure was performed by a resident as operating surgeon under the direct guidance of one of a small, constant group of LC-cert ified attendings acting as first assistant. In group I (n = 48), resid ents acquired LC skills by graded exposure and surgical responsibility similar to their training in other general surgical procedures. In gr oup II (n = 48) residents were additionally certified via an intensive course (including didactic and animal model experience) prior to assu ming responsibility as surgeon. Results: Results were similar in each group. No technical errors were identified. Blood transfusion was not required related to surgery. Conversion to an open procedure occurred in 10% and 8% in groups I and II, respectively. The rate of complicati ons was 4% for group I and 8% for group II, A longer operating time wa s noted in group I and may be attributed to nonoperative reasons. Conc lusions: Education in LC via graded experience throughout residency ac hieves results similar to that found with the addition of an intensive course. This additional training may not be necessary for surgical re sidents.