The learning curve in laparoscopic cholecystectomy

By observing the learning curve for laparoscopic skills and applying what is learned to the training of surgeons, future injuries can be avoided. Three groups were observed: during live animal training sessions; in a retrospective clinical analysis; and residents in training, while learning laparoscopic skills. It is concluded that the surgeon truly dedicated and interested in learning new laparoscopic procedures needs to set aside a substantial amount of time to acquire these skills. Practice in animate and inanimate models, repeated observation with the opportunity to ask questions and the presence of an instructor during the first ten cases are essential.