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A successful model for laparoscopic training in Mongolia.

Gabriela Vargas1, Raymond R Price, Orgoi Sergelen

  • 11  Department of Surgery, University of Utah Hospitals and Clinics, Salt Lake City, Utah, USA.

International Surgery
|January 9, 2013
PubMed
Summary
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Building Surgical Capacity Through Multidisciplinary Laparoscopic Cholecystectomy Training in Kampong Cham, Cambodia.

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Laparoscopic surgery training in Mongolia expanded access to minimally invasive procedures. This capacity-building program successfully established a self-sustaining training model for laparoscopic cholecystectomy.

Area of Science:

  • Surgical education
  • Minimally invasive surgery
  • Global health

Background:

  • Laparoscopic surgery benefits were limited for most Mongolians.
  • Mongolian surgical leaders sought to expand laparoscopic procedures.
  • Gallbladder disease treatment traditionally relied on open surgery.

Purpose of the Study:

  • To review a capacity-building approach for teaching laparoscopic cholecystectomy in Mongolia.
  • To establish a sustainable training program for laparoscopic surgery.
  • To improve surgical outcomes and patient access to advanced procedures.

Main Methods:

  • Developed a comprehensive laparoscopic cholecystectomy training program.
  • Included didactic coursework and intensive 2-week practical operating experience.

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  • Conducted training in Ulaanbaatar and three regional centers from 2006-2010.

    • Main Results:

    • Trained surgeons through 303 teaching laparoscopic cholecystectomies.
    • Reported a 2.0% conversion rate from laparoscopic to open surgery.
    • Observed one common bile duct injury and one duodenal injury.

    Conclusions:

    • The training program successfully created a self-sustaining practice.
    • Laparoscopic surgery has challenged traditional approaches in Mongolia.
    • The initiative stimulated improvements within the Mongolian medical community.