LAPAROSCOPIC CHOLECYSTECTOMY - WHATS SO SPECIAL

Citation
Sm. Tsang et al., LAPAROSCOPIC CHOLECYSTECTOMY - WHATS SO SPECIAL, Southern medical journal, 87(11), 1994, pp. 1076-1082
Citations number
15
Categorie Soggetti
Medicine, General & Internal
Journal title
ISSN journal
00384348
Volume
87
Issue
11
Year of publication
1994
Pages
1076 - 1082
Database
ISI
SICI code
0038-4348(1994)87:11<1076:LC-WSS>2.0.ZU;2-U
Abstract
One hundred seventy-one laparoscopic cholecystectomies were done by se nior surgery residents who received only traditional ''hands-on'' trai ning. Eight patients (5%) required conversion to open cholecystectomy, and two had complications requiring immediate celiotomy (one common b ile duct injury, one ''dropped'' gallbladder). The average operative t ime was 91 minutes (range, 30 to 245 minutes). There were no deaths an d only five postoperative complications related to the procedure (reta ined common bile duct stone in four cases, intra-abdominal hemorrhage in one). There were three complications unrelated to the procedure. Da ta acquired from recent resident training program graduates show that these practicing surgeons are doing laparoscopic cholecystectomy with a 95% success rate and have yet to encounter appreciable complications . We concluded that a large-volume general surgery resident training p rogram provides adequate opportunity for training surgeons in the tech niques of laparoscopic cholecystectomy; there is no need to attend an expensive and time-consuming classroom and animal laboratory course.