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Laparoscopic appendectomy performed by residents and experienced surgeons
Lapo Bencini1, Marco Bernini, Francesco Martini
1Department of Oncology, Careggi Main Florence University and Regional Hospital, Italy. lapbenc@tin.it
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|October 2, 2009
Summary
Surgical residents perform laparoscopic appendectomies effectively, managing more emergency cases with severe disease and achieving lower conversion rates than experienced surgeons. Outcomes and complications remain comparable.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Background:
- Laparoscopic appendectomy is common for surgical residents.
- Indications and outcomes for resident-performed procedures require investigation.
Purpose of the Study:
- Compare indications and outcomes of laparoscopic appendectomies by residents versus experienced surgeons.
- Evaluate differences in disease severity and patient demographics.
Main Methods:
- Retrospective analysis of 218 laparoscopic appendectomies (1999-2007).
- Comparison of operations by residents and experienced surgeons.
- Analysis of indications, disease severity, outcomes, and complications.
Main Results:
- Residents had lower conversion rates (8% vs 17%) and similar complication rates (12% vs 13%).
- Median operating times were comparable (67 vs 60 minutes).
- Residents managed more emergency cases (86% vs 70%) with intermediate to severe disease (81% vs 52%).
Conclusions:
- Residents performed more emergency laparoscopic appendectomies on patients with intermediate to severe disease.
- Surgical outcomes were comparable between residents and experienced surgeons.
- Residents demonstrated lower conversion rates in laparoscopic appendectomy.
