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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Updated: Jun 25, 2025

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Trainee as trainer in paediatric laparoscopic appendicectomy.

L Henderson1, N Patwardhan1, H Dagash1

  • 1Leicester Royal Infirmary, UK.

Annals of the Royal College of Surgeons of England
|May 24, 2024
PubMed
Summary
This summary is machine-generated.

Trainees acting as trainers in laparoscopic appendicectomy cases is safe and effective. This study found comparable outcomes to traditional training, supporting its use in paediatric surgery.

Keywords:
AppendicectomyLaparoscopic surgeryTeachingTraining

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Area of Science:

  • Surgical Education
  • Paediatric Surgery
  • Laparoscopic Procedures

Background:

  • Intraoperative teaching is crucial in surgery.
  • Limited literature exists on trainees functioning as trainers.
  • This study focuses on paediatric laparoscopic appendicectomy cases.

Purpose of the Study:

  • To characterize cases where surgical trainees act as trainers.
  • To evaluate the safety and outcomes of this training model.

Main Methods:

  • Retrospective review of 256 laparoscopic appendicectomies (2015-2017).
  • Categorization of trainees: Core Trainees (CT), Junior Registrars (JR), Senior Registrars (SR).
  • Analysis of trainee-as-trainer (TT) cases, including complexity, timing, and duration.

Main Results:

  • 53 (20.7%) cases were trainee-as-trainer (TT).
  • No statistically significant difference in complications (negative appendicectomies, conversions, readmissions, reoperations) between TT and non-TT cases.
  • TT cases predominantly occurred during working hours (88.7%) and weekdays (94.3%).

Conclusions:

  • Laparoscopic appendicectomy serves as a suitable model for trainee-led surgical training.
  • Careful case selection (simple cases during daylight hours) is key.
  • This training method demonstrates patient safety comparable to published literature.