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Resident Training in Single-Incision Compared with Traditional Cholecystectomy

INTRODUCTION: As attending surgeons' comfort with single-incision laparoscopic surgery (SILS) grows, and with continued improvement in surgical instruments, advanced laparoscopic techniques are increasingly being incorporated into surgical training. The aim of our study was to evaluate resident...

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Detalles Bibliográficos
Autores principales: Daly, Shaun C., Hooper, Elizabeth A., Rinewalt, Daniel, Myers, Jonathan A., Millikan, Keith W., Luu, Minh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771751/
https://www.ncbi.nlm.nih.gov/pubmed/24018069
http://dx.doi.org/10.4293/108680813X13693422521791
Descripción
Sumario:INTRODUCTION: As attending surgeons' comfort with single-incision laparoscopic surgery (SILS) grows, and with continued improvement in surgical instruments, advanced laparoscopic techniques are increasingly being incorporated into surgical training. The aim of our study was to evaluate resident performance and patient outcomes in patients undergoing resident-performed SILS versus a resident-performed traditional laparoscopic cholecystectomy (LC). METHODS: A retrospective case-control study of 80 patients undergoing elective surgical intervention with a resident-performed SILS (n = 20) or a resident-performed traditional LC (n = 60) for gallbladder disease over a 15-month period was performed. Surgical indications, common perioperative variables, complications, and length of stay were reviewed, and all variables were evaluated for statistical significance. RESULTS: Median operative times were similar for the resident-performed SILS cohort and the resident-performed traditional LC cohort (70.0 minutes and 66.0 minutes, respectively; P = .54). There were no complications in either the resident-performed SILS or resident-performed traditional LC groups. There was no difference in mean length of hospital stay between the resident-performed SILS group and resident-performed traditional LC group (0.95 days and 1.10 days, respectively; P = .50). CONCLUSION: Our data strongly support the ability to train senior residents to complete a SILS technique safely and with the same efficacy as with traditional LC.