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KMID : 0371320090760010023
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Journal of the Korean Surgical Society
2009 Volume.76 No. 1 p.23 ~ p.27
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Laparoscopic Appendectomy is Feasible for Inexperienced Surgeons in the Early Days of Individual Laparoscopic Training Courses
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Seo Kyung-Won
Choi Young-Il
Choi Jae-Young
Yoon Ki-Young
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Abstract
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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.
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KEYWORD
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Laparoscopic appendectomy, Learning curve, Unexperienced surgeon
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