The effect of laparoscopic cholecystectomy on resident training

Philip R. Schauer, Carey P. Page, Ronald M. Stewart, Wayne H. Schwesinger, Kenneth R. Sirinek

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

background: The purpose of this study was to determine the impact of laparoscopic cholecystectomy (LC) on resident training. materials and methods: We reviewed our experience over an 11-year period, from academic years 1982 to 1992, with 3,046 patients who underwent elective open cholecystectomy (OC) and 640 patients who underwent LC. results: Prior to LC, junior residents performed 80% of all cholecystectomies, with a morbidity and mortality rate of 4% and 0.04%, respectively, compared with 11% and 0.3%, respectively, for senior residents who operated on higher-risk patients. Since the introduction of the technique, there has been a 25% increase in cholecystectomies per year, and a reduction in junior resident OC experience by 67%. Currently, 72% of all cholecystectomies are performed laparoscopically by senior residents. conclusion: The replacement of OC by LC has produced a qualitative change in the operative experience of our junior residents and a delay in acquisition of operative skills. The reduction in OC experience by residents may jeopardize their ability to perform the difficult open cases.

Original languageEnglish (US)
Pages (from-to)566-570
Number of pages5
JournalThe American Journal of Surgery
Volume168
Issue number6
DOIs
StatePublished - 1994

ASJC Scopus subject areas

  • Surgery

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