Open Access, Peer-reviewed
pISSN 2288-6575
eISSN 2288-6796
    J Korean Surg Soc. 2009 Jan;76(1):23-27. Korean.
    Published online Jan 31, 2009.
    https://doi.org/10.4174/jkss.2009.76.1.23
    Copyright © 2009 The Korean Surgical Society
    Original Article

    Laparoscopic Appendectomy is Feasible for Inexperienced Surgeons in the Early Days of Individual Laparoscopic Training Courses

    Kyungwon Seo, M.D., Youngil Choi, M.D., Jaeyoung Choi, M.D. and Kiyoung Yoon, M.D.
    Received June 13, 2008; Accepted August 21, 2008.

    Abstract

    Purpose

    Recently, laparoscopic appendectomy (LA) has been widely performed in developed countries. In addition, minimally invasive surgery such as LA is a challenge to surgical residents. The aim of this study is to evaluate learning curve of residents in comparison to that of experienced surgeons.

    Methods

    Fifty cases of LA that were performed by experienced surgeons (group A) and forty-seven cases of LA that were performed by 8 residents (group B) were reviewed retrospectively.

    Results

    Operative time was longer in group B (50.8±12 vs. 82.8±40 min. P<0.001). Hospital days of group B was shorter (4.8±2.4 vs. 3.7±2.1 days P=0.021). No other parameters were statistically significant. In group A, wound infection developed in 1 case. In group B, wound infection developed in 4 cases, intraabdominal abscess in 1, subcutaneous emphysema in 1.

    Conclusion

    Inexperienced surgeons can perform laparoscopic appendectomy easily in the early days of individual laparoscopic training course.

    Keywords
    Laparoscopic appendectomy; Learning curve; Unexperienced surgeon

    Tables

    Table 1
    Demographics of the two groups

    Table 2
    Patient distribution according to appendiceal pathology

    Table 3
    The operative results of the two groups

    Table 4
    Postoperative complications

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    MeSH Terms
    Abscess
    Appendectomy
    Developed Countries
    Learning Curve
    Operative Time
    Retrospective Studies
    Subcutaneous Emphysema
    Wound Infection
    Metrics
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