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Universitas Medica
Print version ISSN 0041-9095On-line version ISSN 2011-0839
Abstract
CUEVAS LOPEZ, Liliana et al. General Surgery Residents Experience and Learning Curve for Laparoscopic Appendectomy and Cholecystectomy in a Latin American Hospital. Univ. Med. [online]. 2019, vol.60, n.2, pp.3-12. ISSN 0041-9095. https://doi.org/10.11144/javeriana.umed60-2.curv.
Introduction:
Laparoscopic surgery has revolutionized the surgical management of patients, generating a need for training in the area. Performance in real life is what allows a global determination of the competences in a procedure and establishes a training method. The objective of this study is to describe the evolution in the surgical experience of a group of general surgery residents.
Methodology:
Observational analytical study of a retrospective cohort at the Hospital Universitario San Ignacio. It included 4191 surgical procedures divided in 1045 laparoscopic appendectomies (LAs) and 3146 laparoscopic cholecystectomies (LCs) performed by a total of 52 residents between January 2008 and December 2014.
Results:
Both LAs and LCs showed an increase in the number of annual procedures. When comparing the mean times of LA per year of residency training, a decreasing trend in the median was observed, as the resident advanced in his/her training. Intraoperative complications were 0.77% for LA and 1.9 % for LC; the most common postoperative complication was surgical site infection (SSI) and mortality was <0.5%.
Conclusion:
The results show the need to continue with residency programs that provide adequate training in the laparoscopic approach, possibly with increasingly early exposure to minimally invasive procedures.
Keywords : learning curve; laparoscopic cholecystectomy; laparoscopic appendectomy; residents.