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Related Experiment Video

Updated: Jun 29, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Whose appendicectomy?--Do laparoscopic appendicectomies impair SHO training?

Anwar E Owais1, Timothy R Wilson, Neeraj Sethi

  • 1Department of General Surgery, Huddersfield Royal Infirmary, Huddersfield, UK.

Annals of the Royal College of Surgeons of England
|October 4, 2008
PubMed
Summary

Laparoscopic appendicectomy did not cause the decline in open appendicectomies performed by surgical house officers (SHOs). Training opportunities must be balanced as laparoscopic procedures increase.

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Area of Science:

  • Surgical Education
  • Minimally Invasive Surgery
  • Appendiceal Surgery

Background:

  • Open appendicectomy is a foundational procedure for surgical trainee skill development.
  • A trend of decreasing open appendicectomies by basic surgical trainees and increasing laparoscopic appendicectomies has been observed.
  • This study investigates the impact of laparoscopic appendicectomy on surgical house officer (SHO) training.

Purpose of the Study:

  • To determine if the rise of laparoscopic appendicectomy negatively affects the training experiences of surgical house officers (SHOs).

Main Methods:

  • A retrospective review of 857 appendicectomies performed over seven years (August 1999 - August 2006).
  • Data extraction from case notes focused on operating surgeon and surgical technique.
  • Analysis of trends in appendicectomy procedures performed by SHOs versus laparoscopic techniques.

Main Results:

  • A significant decrease in SHO-performed appendicectomies occurred between February 2002 and July 2003 (78.7% to 29.3%).
  • Laparoscopic appendicectomy rates began increasing significantly after February 2004.
  • SHO appendicectomy rates remained stable before and after the observed decline, and no laparoscopic appendicectomies were performed by SHOs.

Conclusions:

  • No evidence suggests laparoscopic appendicectomy popularity caused the decline in SHO-performed open appendicectomies.
  • Balancing training opportunities is crucial given the increasing popularity of laparoscopic appendicectomy for both junior and senior trainees.