Laparoscopic Appendectomy is Feasible for Inexperienced Surgeons in the Early Days of Individual Laparoscopic Training Courses.
10.4174/jkss.2009.76.1.23
- Author:
Kyungwon SEO
1
;
Youngil CHOI
;
Jaeyoung CHOI
;
Kiyoung YOON
Author Information
1. Department of Surgery, Kosin University College of Medicine, Busan, Korea. yoonky@ns.kosinmed.or.kr
- Publication Type:Original Article
- Keywords:
Laparoscopic appendectomy;
Learning curve;
Unexperienced surgeon
- MeSH:
Abscess;
Appendectomy;
Developed Countries;
Learning Curve;
Operative Time;
Retrospective Studies;
Subcutaneous Emphysema;
Wound Infection
- From:Journal of the Korean Surgical Society
2009;76(1):23-27
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Recently, laparoscopic appendectomy (LA) has been widely performed in developed countries. In addition, minimally invasive surgery such as LA is a challenge to surgical residents. The aim of this study is to evaluate learning curve of residents in comparison to that of experienced surgeons. METHODS: Fifty cases of LA that were performed by experienced surgeons (group A) and forty-seven cases of LA that were performed by 8 residents (group B) were reviewed retrospectively. RESULTS: Operative time was longer in group B (50.8+/-12 vs. 82.8+/-40 min. P<0.001). Hospital days of group B was shorter (4.8+/-2.4 vs. 3.7+/-2.1 days P=0.021). No other parameters were statistically significant. In group A, wound infection developed in 1 case. In group B, wound infection developed in 4 cases, intraabdominal abscess in 1, subcutaneous emphysema in 1. CONCLUSION: Inexperienced surgeons can perform laparoscopic appendectomy easily in the early days of individual laparoscopic training course.
