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Resident training in single-incision compared with traditional cholecystectomy
Shaun C Daly1, Elizabeth A Hooper, Daniel Rinewalt
1Departments of General Surgery, Rush University Medical Center, 1635 West Harrison, Chicago, IL 60612, USA. Shaun_Daly@rush.edu.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|September 11, 2013
Summary
Senior residents can safely perform single-incision laparoscopic surgery (SILS) for gallbladder disease with outcomes comparable to traditional laparoscopic cholecystectomy (LC). This indicates SILS is a viable advanced technique for surgical training.
Area of Science:
- Minimally Invasive Surgery
- Surgical Education
- Gastrointestinal Surgery
Background:
- Advancements in surgical instruments and growing surgeon comfort facilitate the integration of advanced laparoscopic techniques into surgical training.
- Single-incision laparoscopic surgery (SILS) represents an evolving minimally invasive approach.
Purpose of the Study:
- To evaluate resident performance and patient outcomes comparing resident-performed SILS to resident-performed traditional laparoscopic cholecystectomy (LC).
Main Methods:
- Retrospective case-control study of 80 patients undergoing elective gallbladder disease surgery.
- Comparison between resident-performed SILS (n=20) and resident-performed traditional LC (n=60).
- Analysis of surgical indications, perioperative variables, complications, and length of stay.
Main Results:
- Median operative times were similar between SILS and traditional LC groups (70.0 vs. 66.0 minutes, P = .54).
- No complications were reported in either group.
- Mean length of hospital stay did not differ significantly between the SILS and traditional LC groups (0.95 vs. 1.10 days, P = .50).
Conclusions:
- Senior residents can be trained to safely and effectively perform SILS.
- SILS demonstrates comparable efficacy to traditional LC in resident training programs.
- The study supports the integration of SILS into surgical residency curricula.