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Learning curve for a laparoscopic appendectomy by a surgical trainee.

Song Yi Kim¹, Sung Gun Hong, Hye Rin Roh

¹Department of Surgery, Kangwon National University School of Medicine, Chuncheon, Korea.

Journal of the Korean Society of Coloproctology

|December 15, 2010

Summary

Laparoscopic appendectomy is safe for surgical trainees, with no significant difference in complications compared to open appendectomy. The learning curve for this procedure was determined to be approximately thirty cases.

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Area of Science:

Surgical Education
Minimally Invasive Surgery

Background:

Laparoscopic appendectomy is a foundational skill for surgical trainees learning advanced laparoscopic techniques.
The learning curve and safety of laparoscopic appendectomy by trainees remain subjects of ongoing investigation.

Purpose of the Study:

To evaluate the safety and learning curve associated with laparoscopic appendectomy performed by surgical trainees.
To compare outcomes of laparoscopic appendectomy with open appendectomy in a trainee setting.

Main Methods:

Retrospective review of 103 patients undergoing open or laparoscopic appendectomy.
Analysis of demographics, diagnoses, operative time, complications, and hospital duration.
Learning curve assessment using moving average and ANOVA methods.

Keywords:

Appendectomy Laparoscopy Learning curve

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Main Results:

No significant differences in operative time or complication rates between laparoscopic and open appendectomy groups.
Significant reduction in operative time for laparoscopic appendectomy after the initial learning curve (30 cases).
Complication rates remained similar before and after the learning curve for laparoscopic appendectomy.

Conclusions:

Laparoscopic appendectomy is a safe procedure for surgical trainees when compared to open appendectomy.
The learning curve for achieving proficiency in laparoscopic appendectomy for trainees was established at approximately 30 cases.