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Chief resident experience with laparoscopic cholecystectomy
G S Ferzli1, M A Fiorillo, N E Hayek
1Staten Island University Hospital, New York, USA.
Summary
Chief residents trained in laparoscopic cholecystectomy (LC) achieved comparable complication rates to published data. Ensuring adequate open cholecystectomy training for graduating residents remains crucial.
Area of Science:
- Surgery
- Surgical Education
Background:
- Laparoscopic cholecystectomy (LC) training has been inconsistent in US surgical residency programs.
- Many residents graduate with limited experience in LC, raising concerns about surgical competence.
Purpose of the Study:
- To summarize the experience of chief residents performing LC during their chief year.
- To assess the safety and efficacy of LC performed by residents with substantial exposure.
Main Methods:
- Retrospective review of 147 LC procedures performed by chief residents.
- Analysis of operating time, conversion rates, and complication rates.
Main Results:
- Average operating time was 37 minutes.
- 4% of patients required conversion to open surgery.
- Overall complication rate was 2%, with no mortality.
Conclusions:
- Graduating chief residents with 5 years of LC exposure can achieve comparable complication rates to literature.
- The need for adequate open cholecystectomy training for graduating residents may increase in importance.