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Related Experiment Videos

Experience with laparoscopic and open appendectomies in a surgical residency program

G E Neal1, E C McClintic, J S Williams

  • 1Department of Surgical Education, Memorial Medical Center, Savannah, GA 31403-3089.

Surgical Laparoscopy & Endoscopy
|August 1, 1994
PubMed
Summary

Laparoscopic appendectomy is easily learned by surgical residents and offers outcomes similar to conventional appendectomy. This minimally invasive approach shows comparable results despite higher initial operating room charges.

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Area of Science:

  • Surgery
  • Medical Education
  • Gastrointestinal Surgery

Background:

  • Laparoscopic appendectomy presents unique training challenges for surgical residents.
  • Conventional appendectomy remains a common procedure, but its efficacy and resident training aspects require comparison.

Purpose of the Study:

  • To evaluate the efficacy of laparoscopic appendectomy compared to conventional appendectomy.
  • To assess the learning curve and outcomes for surgical residents performing laparoscopic appendectomies.
  • To analyze patient demographics, operative characteristics, and postoperative results.

Main Methods:

  • Retrospective review of 151 appendectomies performed by residents between September 1990 and September 1992.
  • Categorization of procedures into laparoscopic, conventional, and converted (laparoscopic to open).

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  • Comparison of patient age, sex, symptoms, operative times, complications, hospital stay, and costs.

    • Main Results:

    • Laparoscopic appendectomy was performed in 26% of cases, conventional in 65%, and 9% were converted to open procedures.
    • Acute appendicitis confirmation rates were 56% (laparoscopic), 85% (conventional), and 86% (converted).
    • Hospital stay was shorter for laparoscopic (3.5 days) and conventional (4.5 days) compared to converted (8.5 days) procedures, with similar complication rates and operative times between laparoscopic and conventional groups. Laparoscopic procedures incurred higher operating room charges.

    Conclusions:

    • Laparoscopic appendectomy is readily learned by surgical residents.
    • The outcomes of laparoscopic appendectomy are comparable to conventional appendectomy.
    • While initial costs may be higher, laparoscopic appendectomy offers benefits such as reduced hospital stay, making it a viable option for resident training and patient care.