23 Citations (Scopus)

Abstract

Purpose: This study aimed to evaluate whether laparoscopic appendectomy is suitable for training residents to become proficient in laparoscopic surgery. Materials and Methods: A total of 1574 laparoscopic appendectomies were performed at En-Chu-Kong Hospital between January 1998 and December 2003 (788 men and 786 women). These cases were divided into three groups: 543 cases (in 1998-1999) performed by 5 attending surgeons during the learning and trial stage; 536 cases (in 2000-2001) performed by 5 attending surgeons assisted by 2 senior residents with prior experience in open appendectomy; and 495 cases (in 2002-2003) done by these 2 senior residents, supervised by the attending surgeons. Demographic data, intraoperative findings, operative time, conversion rate, frequency of analgesic injection, timing of oral intake, hospital stay, morbidity, and mortality were analyzed. Results: There were no statistically significant differences in the operations performed by attending surgeons (mature stage) vs. senior residents in terms of intraoperative findings, operative time (60.1 ± 60.4 minutes vs. 56.3 ± 25.6 minutes), conversion rate (1.12% vs. 0.81%), frequency of analgesic injection (0.57 ± 1.37 times/stay vs. 0.43 ± 0.94 times/stay), timing of oral intake (23.7 ± 30.2 hours vs. 20.8 ± 27.5 hours), hospital stay (73.9 ± 61.8 hours vs. 70.3 ± 51.6 hours), morbidity, or mortality (0% vs. 0.2%). Conclusion: Laparoscopic appendectomy can be safely incorporated into the training of surgical residents under the supervision of experienced surgeons. Laparoscopic appendectomy also provides knowledge of the basics of laparoscopic technique before going on to more complex operations.

Original languageEnglish
Pages (from-to)113-118
Number of pages6
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume16
Issue number2
DOIs
Publication statusPublished - Apr 2006

Fingerprint

Appendectomy
Operative Time
Analgesics
Length of Stay
Morbidity
Injections
Hospital Mortality
Laparoscopy
Demography
Surgeons
Learning
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

Role of appendectomy in laparoscopic training. / Chiu, Chong Chi; Wei, Po Li; Wang, Weu; Chen, Robert J.; Chen, Tai Chi; Lee, Wei Jei; Huang, Ming Te.

In: Journal of Laparoendoscopic and Advanced Surgical Techniques, Vol. 16, No. 2, 04.2006, p. 113-118.

Research output: Contribution to journalArticle

Chiu, Chong Chi ; Wei, Po Li ; Wang, Weu ; Chen, Robert J. ; Chen, Tai Chi ; Lee, Wei Jei ; Huang, Ming Te. / Role of appendectomy in laparoscopic training. In: Journal of Laparoendoscopic and Advanced Surgical Techniques. 2006 ; Vol. 16, No. 2. pp. 113-118.
@article{21270176a9ce4814a3864e7a406e3b51,
title = "Role of appendectomy in laparoscopic training",
abstract = "Purpose: This study aimed to evaluate whether laparoscopic appendectomy is suitable for training residents to become proficient in laparoscopic surgery. Materials and Methods: A total of 1574 laparoscopic appendectomies were performed at En-Chu-Kong Hospital between January 1998 and December 2003 (788 men and 786 women). These cases were divided into three groups: 543 cases (in 1998-1999) performed by 5 attending surgeons during the learning and trial stage; 536 cases (in 2000-2001) performed by 5 attending surgeons assisted by 2 senior residents with prior experience in open appendectomy; and 495 cases (in 2002-2003) done by these 2 senior residents, supervised by the attending surgeons. Demographic data, intraoperative findings, operative time, conversion rate, frequency of analgesic injection, timing of oral intake, hospital stay, morbidity, and mortality were analyzed. Results: There were no statistically significant differences in the operations performed by attending surgeons (mature stage) vs. senior residents in terms of intraoperative findings, operative time (60.1 ± 60.4 minutes vs. 56.3 ± 25.6 minutes), conversion rate (1.12{\%} vs. 0.81{\%}), frequency of analgesic injection (0.57 ± 1.37 times/stay vs. 0.43 ± 0.94 times/stay), timing of oral intake (23.7 ± 30.2 hours vs. 20.8 ± 27.5 hours), hospital stay (73.9 ± 61.8 hours vs. 70.3 ± 51.6 hours), morbidity, or mortality (0{\%} vs. 0.2{\%}). Conclusion: Laparoscopic appendectomy can be safely incorporated into the training of surgical residents under the supervision of experienced surgeons. Laparoscopic appendectomy also provides knowledge of the basics of laparoscopic technique before going on to more complex operations.",
author = "Chiu, {Chong Chi} and Wei, {Po Li} and Weu Wang and Chen, {Robert J.} and Chen, {Tai Chi} and Lee, {Wei Jei} and Huang, {Ming Te}",
year = "2006",
month = "4",
doi = "10.1089/lap.2006.16.113",
language = "English",
volume = "16",
pages = "113--118",
journal = "Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A",
issn = "1092-6429",
publisher = "Mary Ann Liebert Inc.",
number = "2",

}

TY - JOUR

T1 - Role of appendectomy in laparoscopic training

AU - Chiu, Chong Chi

AU - Wei, Po Li

AU - Wang, Weu

AU - Chen, Robert J.

AU - Chen, Tai Chi

AU - Lee, Wei Jei

AU - Huang, Ming Te

PY - 2006/4

Y1 - 2006/4

N2 - Purpose: This study aimed to evaluate whether laparoscopic appendectomy is suitable for training residents to become proficient in laparoscopic surgery. Materials and Methods: A total of 1574 laparoscopic appendectomies were performed at En-Chu-Kong Hospital between January 1998 and December 2003 (788 men and 786 women). These cases were divided into three groups: 543 cases (in 1998-1999) performed by 5 attending surgeons during the learning and trial stage; 536 cases (in 2000-2001) performed by 5 attending surgeons assisted by 2 senior residents with prior experience in open appendectomy; and 495 cases (in 2002-2003) done by these 2 senior residents, supervised by the attending surgeons. Demographic data, intraoperative findings, operative time, conversion rate, frequency of analgesic injection, timing of oral intake, hospital stay, morbidity, and mortality were analyzed. Results: There were no statistically significant differences in the operations performed by attending surgeons (mature stage) vs. senior residents in terms of intraoperative findings, operative time (60.1 ± 60.4 minutes vs. 56.3 ± 25.6 minutes), conversion rate (1.12% vs. 0.81%), frequency of analgesic injection (0.57 ± 1.37 times/stay vs. 0.43 ± 0.94 times/stay), timing of oral intake (23.7 ± 30.2 hours vs. 20.8 ± 27.5 hours), hospital stay (73.9 ± 61.8 hours vs. 70.3 ± 51.6 hours), morbidity, or mortality (0% vs. 0.2%). Conclusion: Laparoscopic appendectomy can be safely incorporated into the training of surgical residents under the supervision of experienced surgeons. Laparoscopic appendectomy also provides knowledge of the basics of laparoscopic technique before going on to more complex operations.

AB - Purpose: This study aimed to evaluate whether laparoscopic appendectomy is suitable for training residents to become proficient in laparoscopic surgery. Materials and Methods: A total of 1574 laparoscopic appendectomies were performed at En-Chu-Kong Hospital between January 1998 and December 2003 (788 men and 786 women). These cases were divided into three groups: 543 cases (in 1998-1999) performed by 5 attending surgeons during the learning and trial stage; 536 cases (in 2000-2001) performed by 5 attending surgeons assisted by 2 senior residents with prior experience in open appendectomy; and 495 cases (in 2002-2003) done by these 2 senior residents, supervised by the attending surgeons. Demographic data, intraoperative findings, operative time, conversion rate, frequency of analgesic injection, timing of oral intake, hospital stay, morbidity, and mortality were analyzed. Results: There were no statistically significant differences in the operations performed by attending surgeons (mature stage) vs. senior residents in terms of intraoperative findings, operative time (60.1 ± 60.4 minutes vs. 56.3 ± 25.6 minutes), conversion rate (1.12% vs. 0.81%), frequency of analgesic injection (0.57 ± 1.37 times/stay vs. 0.43 ± 0.94 times/stay), timing of oral intake (23.7 ± 30.2 hours vs. 20.8 ± 27.5 hours), hospital stay (73.9 ± 61.8 hours vs. 70.3 ± 51.6 hours), morbidity, or mortality (0% vs. 0.2%). Conclusion: Laparoscopic appendectomy can be safely incorporated into the training of surgical residents under the supervision of experienced surgeons. Laparoscopic appendectomy also provides knowledge of the basics of laparoscopic technique before going on to more complex operations.

UR - http://www.scopus.com/inward/record.url?scp=33750118350&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33750118350&partnerID=8YFLogxK

U2 - 10.1089/lap.2006.16.113

DO - 10.1089/lap.2006.16.113

M3 - Article

C2 - 16646699

AN - SCOPUS:33750118350

VL - 16

SP - 113

EP - 118

JO - Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A

JF - Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A

SN - 1092-6429

IS - 2

ER -