Index laparoscopic cholecystectomy for acute admissions with cholelithiasis provides excellent training opportunities in emergency general surgery

Laparoscopic cholecystectomy as a teaching operation: comparison of outcome between residents and attending surgeons in 1,747 patients

“…The conversion rate of 1.4% was independent of the surgeon's experience and much lower than most reported rates in the literature with 5% to 19% [2,11,12,18,22,26], probably reflecting the motivation of the authors to stay with laparoscopy whenever justifiable. In contrast to our results, other authors actually reported higher rates of conversion in LC performed by AS compared to RS [12,27]. Despite the low rate of conversion, there was not an increase of intraoperative complications seen in our study.…”

“…Surprisingly, the length of hospital stay was shorter in patients treated by RS compared to those treated by AS which is comparable with a previous report with shorter length of hospital stay in LC performed by RS with 1 vs. 2 days in patients treated by AS [27]. The difference of length in hospital stay in our study might be explained by patient selection and concomitant diseases of patients treated by AS, which is coherent to our findings concerning preoperative ASA scores and patient age.…”

“…This might be explained with our policy to perform LC during the initial admission whenever feasible. Our results of urgent LC as a teaching operation are comparable to a recently published study which showed that emergent LC can be performed safely by RS [27].…”

‘Critical View of Safety’ as an Alternative to Routine Intraoperative Cholangiography During Laparoscopic Cholecystectomy for Acute Biliary Pathology

“…In our institution, a structured training programme was incorporated into the surgical curriculum, which allowed a stepwise progression from junior to senior trainee in the performance of same admission laparoscopic cholecystectomies. 15 As a result, 66% of the procedures in the current study were performed by trainees. While there are no UK guidelines regarding the routine use of CVS in this setting, the local policy of routine mandatory CVS for surgical trainees prior to clipping the cystic duct and artery was adopted to good effect.…”

Gallbladder Surgery, Choice of Technique: An Overview

“…Another randomised controlled trial found no clinically significant differences between traditional open cholecystectomy and laparoscopic cholecystectomy (73). Observational series have demonstrated that both small-incision (74) and laparoscopic cholecystectomy (75)(76)(77)(78)(79) are suitable for treating acute cholecystitis. According to metaanalyses, an early operation (open or laparoscopic) does not carry a higher risk of mortality or morbidity compared to delayed surgery, and therefore, should be the preferred treatment (80,81).…”