Role of appendectomy in training for laparoscopic surgery

Abstract

Apprenticeship in laparoscopic appendectomy can be accomplished with gradual clinical training and without the need for resort to animal experimentation laboratories.

Role of Appendectomy in Laparoscopic Training

“…23 The learning process does not imply increased risk of complications or conversions, providing it is always under the supervision of experienced surgeons. 1 In conclusion, training in LA provides a golden key for surgeons to the field of laparoscopic surgery. Its safe and timely integration into a residency program requires qualified faculty surgeons, adequate didactic instruction, a graded and supervised clinical experience with human LA, and a sufficient number of cases to establish proficiency.…”

“…This statement was supported by many institutions. 1 However, there are some disadvantages to practicing laparoscopic technique in laboratory courses. First, they lack real tactile feedback of the human body.…”

“…1,2 Although the technique of laparoscopic appendectomy (LA) was described by Semm in 1983, it is not as widely accepted as laparoscopic cholecystectomy, which was introduced in 1988. 3,4 Since then, laparoscopic technique has gained widespread acceptance among surgeons in many countries.…”

Randomized Prospective Study to Compare Laparoscopic Appendectomy Versus Umbilical Single-Incision Appendectomy

“…15 The surgeon and the assistant are positioned to the left of the patient and the monitor to the right, opposite the surgeon. Pneumoperitoneum is created per umbilical with a Veress needle.…”

Lost opportunity cost of surgical training in the Australian private sector

“…The additional training time would mean two rather than three cases per 4‐h list. In the prospective studies, 24–31 the average additional ‘incision‐to‐last suture’ time was similar at 26 min (range −10 to 58). Because the average operation time was shorter, this difference would mean three rather than four cases per list.…”