LAPAROSCOPY - OBSTACLE OR ASSET FOR THE S URGEON IN-TRAINING

Laparoscopy is a new fascinating technique. However, after the first w ave of enthusiasm, laparoscopy currently raises different problems rel ated with surgical training. A national survey concerning laparoscopy and its teaching was sent to every surgeon-in-chief, chief resident an d resident of all Swiss teaching hospitals. Surgical training is nowad ays an important problem in Switzerland. Our survey revealed that lapa roscopy intensifies this problem: a specific training in laparoscopy i s desired by all surgeons and has to take place in the Swiss Board of Surgery (FMH). A preliminary experience of conventional surgery is des irable. Then a laparoscopic training should start on experimental cert ified models and be applied progressively on patients in attendance wi th a trained surgeon.