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  1. Resident education in laparoscopic cholecystectomy.

    Article, Communication - En anglais

    Society of American Gastrointestinal Endoscopic Surgeons SAGES. Annual meeting. Orlando FL USA, 1995/03/11.

    Background 

    Resident education in laparoscopic cholecystectomy (LC) was studied in a retrospective analysis of consecutive cases performed at two academic institutions with different educational approaches.

    Methods 

    Each procedure was performed by a resident as operating surgeon under the direct guidance of one of a small, constant group of LC-certified attendings acting as first assistant.

    In group I (n=48), residents acquired LC skills by graded exposure and surgical responsibility similar to their training in other general surgical procedures.

    In group II (n=48) residents were additionally certified via an intensive course (including didactic and animal model experience) prior to assuming responsibility as surgeon.

    Results 

    Results were similar in each group.

    No technical errors were identified.

    Blood transfusion was not required related to surgery.

    Conversion to an open procedure occurred in 10% and 8% in groups I and II, respectively.

    The rate of complications was 4% for group I and 8% for group II.

    A longer operating time was noted in group I and may be attributed to nonoperative reasons.

    Conclusions 

    Education in LC via graded experience throughout residency achieves results similar to that found with the addition of an intensive course.

    This additional training may not be necessary for surgical residents.

    Mots-clés Pascal : Enseignement, Etudiant, Médecine, Chirurgie endoscopique, Cholécystectomie, Laparoscopie, Formation professionnelle, Attitude, Homme, Chirurgie

    Mots-clés Pascal anglais : Teaching, Student, Medicine, Endoscopic surgery, Cholecystectomy, Laparoscopy, Occupational training, Attitude, Human, Surgery

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0142152

    Code Inist : 002B30A09. Création : 199608.