Role of appendectomy in training for laparoscopic surgery

Surg Endosc. 2003 Jan;17(1):111-4. doi: 10.1007/s00464-001-9199-y. Epub 2002 Sep 23.


Background: This study aimed to evaluate a program of training in laparoscopic surgery based on clinical practice in the emergency room, in which laparoscopic appendectomy is the first technique that residents perform as surgeons.

Methods: A prospective nonrandomized study was conducted involving all the laparoscopies performed in emergencies with a diagnosis of acute abdomen, appendicular in origin, during the period between June 1991 and December 1997.

Results: There were no statistically significant differences between residents and assistants in terms of conversion rates (22/242 vs 15/158), mean hospital stay for each type of surgeon (5.2 days for residents and 5.1 days for assistants), and complications (12.8% for residents and 13.7% for assistants). Operating time, was significantly longer (p < 0.05) for residents (52.2 min) than for assistants (48 min).

Conclusions: Apprenticeship in laparoscopic appendectomy can be accomplished with gradual clinical training and without the need for resort to animal experimentation laboratories.

Publication types

  • Evaluation Study

MeSH terms

  • Abdomen, Acute / surgery*
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Ambulatory Surgical Procedures / education*
  • Ambulatory Surgical Procedures / methods
  • Ambulatory Surgical Procedures / statistics & numerical data
  • Appendectomy / education*
  • Appendectomy / methods
  • Child
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Humans
  • Internship and Residency / statistics & numerical data*
  • Laparoscopy / methods*
  • Laparoscopy / statistics & numerical data*
  • Length of Stay / statistics & numerical data
  • Male
  • Middle Aged
  • Program Evaluation
  • Workforce