Learning curve after rapid introduction of laparoscopic appendectomy: Are there any risks in surgical resident participation?

Eszter Mán, Tibor Németh, Tibor Géczi, Zsolt Simonka, G. Lazar

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: With the spread of the minimally invasive technique, laparoscopic appendectomy (LA) is performed with increasing frequency with excellent results. The method provides surgical residents with an excellent opportunity to learn basic laparoscopic skills and prepares them for more complex interventions. Methods: We evaluated the results of 600 laparoscopic appendectomies performed by 5 surgical residents (Group A) and 5 consultant surgeons (Group B) between 2006 and 2009. Comparing the two groups based on patient demographics, duration of surgery, operation time depending on the severity of inflammation, intraoperative blood loss, conversion rate, hospital stay in days, and postoperative complications. We also assessed the extent to which the minimum of 20 surgeries to be performed in the learning curve period as recommended by the EAES corresponds to our experience. SPPS 20 was used for the statistical analysis. Results: Six hundred laparoscopic appendectomies were performed in the study period (Group A: n=319; Group B: n=281). A significant difference was found between the two groups in duration of surgery during the learning curve period and when comparing the duration of LA surgeries in the learning curve period with the duration of later surgeries in both groups. The operation time in case of more severe inflammation also showed a significant difference when comparing with simple appendicitis operation time. Conclusions: The rapid introduction of laparoscopy involves few risks, the surgery is also performed with sufficient safety by surgical residents, and it provides them with an excellent opportunity to learn the basic laparoscopy skills.

Original languageEnglish
Article number17
JournalWorld Journal of Emergency Surgery
Volume11
Issue number1
DOIs
Publication statusPublished - May 3 2016

Fingerprint

Appendectomy
Learning Curve
Laparoscopy
Inflammation
Appendicitis
Consultants
Length of Stay
Demography
Safety

Keywords

  • Complications
  • Laparoscopic surgery
  • Learning curve
  • Operative time
  • Residency

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine

Cite this

Learning curve after rapid introduction of laparoscopic appendectomy : Are there any risks in surgical resident participation? / Mán, Eszter; Németh, Tibor; Géczi, Tibor; Simonka, Zsolt; Lazar, G.

In: World Journal of Emergency Surgery, Vol. 11, No. 1, 17, 03.05.2016.

Research output: Contribution to journalArticle

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