Role of Appendectomy in Laparoscopic Training

Chiu, Chih-Yi; Wei, Po Li; Wang, Weu; Chen, Robert J.; Chen, Tai Chi; Lee, Wei Jei; Huang, Ming Te

doi:10.1089/lap.2006.16.113

Cited by 31 publications

(19 citation statements)

References 24 publications

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“…149,150 Surrogate markers to assess technical competence are not a new method to assess surgical performance, and previous attempts have been made to assess the performance of certified surgeons, using patient morbidity and mortality as surrogate outcomes. [151][152][153][154] The major drawback of the assessment methods included here is whether surrogate markers are a true measure of technical competence. There are many other variables at work during a procedure; perhaps the time to complete a procedure, the cecal intubation rate, or the strength of tendon repair are based more on patient's characteristics and the periprocedure environment (ie, team dynamics, bowel preparation) than on resident technical competence.…”

Section: Discussionmentioning

confidence: 99%

Assessing Technical Competence in Surgical Trainees

et al. 2015

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The definition of technical competence continues to be debated within the medical literature. The methods used to evaluate technical competence predominantly include instruments that were originally created to assess technical skill. Very few studies identify standard setting approaches that differentiate competent versus noncompetent performers; subsequently, this has been identified as an area with great research potential.

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Section: Discussionmentioning

confidence: 99%

Assessing Technical Competence in Surgical Trainees

et al. 2015

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“…Studies have shown that laparoscopic appendectomy can be safely incorporated as part of the surgical training program for residents in a teaching hospital [8]. For the trainee, it provides a valuable opportunity to master basic laparoscopic skills [7,13]. There has been some concern about the safety of resident-performed appendectomy [11].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic appendectomy by residents: evaluating outcomes and learning curve

Lin

Shabbir

2009

Surg Endosc

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“…Appendectomy has traditionally been regarded as a fundamental step in a junior surgeon's training. An analogous role must be claimed for LA, as it is fundamental for acquiring dexterity and skill in laparoscopy, necessary to tackle advanced minimally invasive operations [44]. Prospective studies on residents' outcomes in appendectomy operations have stated the learning curve is completed after twenty operations [45] (level III).…”

Section: The Training Issuementioning

confidence: 99%

A brief review of laparoscopic appendectomy: the issues and the evidence

Vettoretto¹,

Agresta

2010

Tech Coloproctol

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Laparoscopic appendectomy was first performed more than 25 years ago. We performed a systematic literature search on laparoscopic appendectomy and selected related topics. The technique should be considered the gold standard for surgical removal of the appendix in women of childbearing age (level of evidence Ia). There is minor but consistent evidence that it should also be advocated for men (level of evidence III), obese (level of evidence III), and elderly (level of evidence IIb) patients, while there is some evidence of unfavorable results on pregnant women (level of evidence IIb). Studies reporting higher incidence of intra-abdominal abscesses after laparoscopic appendectomy are difficult to interpret due to a lack of standardization of the operative technique and lack of uniformity related to the different grades of disease (ranging from uninflamed appendix to diffuse peritonitis, gangrene, or perforation of the organ). As far as surgical technique, the three-port procedure is superior to needleoscopy and single port access (level of evidence Ia). Costly high-tech instruments for dissection are mostly unnecessary (level Ib). Mechanical closure of the stump might prove safer (level Ib). The quantity of peritoneal lavage fluid is generally scanty (level III), and abdominal drains are not useful (level Ia). Fast-track protocols should be implemented (level Ic). Training and technical standardization are the key to devising future trials on this topic.

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Role of Appendectomy in Laparoscopic Training

Abstract: Laparoscopic appendectomy can be safely incorporated into the training of surgical residents under the supervision of experienced surgeons. Laparoscopic appendectomy also provides knowledge of the basics of laparoscopic technique before going on to more complex operations.

Cited by 31 publications

References 24 publications

Assessing Technical Competence in Surgical Trainees

Assessing Technical Competence in Surgical Trainees

Laparoscopic appendectomy by residents: evaluating outcomes and learning curve

A brief review of laparoscopic appendectomy: the issues and the evidence

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