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Related Experiment Videos

Chief resident experience with laparoscopic cholecystectomy

G S Ferzli1, M A Fiorillo, N E Hayek

  • 1Staten Island University Hospital, New York, USA.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|June 1, 1997
PubMed
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.

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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.

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  • 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.