The training to laparoscopic appendectomy

The training to laparoscopic appendectomy provides to novice surgeons an opportunity to acquire and assimilate main skills of laparoscopy operation techniques. However, nowadays there is no clear criteria of qualification level of surgeons for safe implementation of this operation. The present study was targeted to evaluate both the results of laparoscopic appendectomy implemented by novice surgeons and effectiveness of training to these operations' technique according surgery results. The study included random patients underwent laparoscopic appendectomy implemented by eight training surgeons during 20092011. The study considered clinical and histological forms of disease, duration of operation, number of complications and conversions. All patients were separated in three groups. The first group included the first 20 patients operated in 2009. The second group included next 20 patients operated in 2010. The third group included 20 patients operated in 2011. The totality of 480 laparoscopic appendectomies were implemented. The mean duration of operation added up to 64.9±20.1 minutes. In 7.3% of cases conversion to open appendectomy was needed. The significant decrease of number of complications and conversions related to increase of experience of surgeon was marked. At that, duration of operation and mismatch between clinical and histological diagnoses remained unchanged.

laparoscopic appendectomy, novice surgeon, education curve, surgery training