Training in laparoscopic cholecystectomy - Quantifying the learning curve

John Hunter, J. M. Sackier, G. Berci

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

There is no clear consensus on the best way to train general surgeons to perform laparoscopic cholecystectomy (LC). We attempted to quantify the "learning curve" for 86 surgeons attending eight consecutive 3-day, three-pig courses in LC. Each step of the operation was scored by the instructor for successful performance: Uncomplicated pneumoperitoneum (p), cystic duct and artery dissection (cd), artery and duct clipping (cc), operative cholangiography (oc), gallbladder dissection without holes (gd), liver bed hemostasis (h), gallbladder removal in one piece (i), and no abdominal organ injury (in). As well, operative time, method of dissection, and contact Nd: YAG or electrocautery were recorded. The percentage of students successfully completing each task for the first and third pigs on which they acted as surgeon was as follows:[Figure not available: see fulltext.] The operative time for the first and third pigs was 1.3±0.56 and 0.70±0.34 (mean±SD) h, respectively (P

Original languageEnglish (US)
Pages (from-to)28-31
Number of pages4
JournalSurgical Endoscopy and Other Interventional Techniques
Volume8
Issue number1
DOIs
StatePublished - Jan 1994
Externally publishedYes

Fingerprint

Learning Curve
Laparoscopic Cholecystectomy
Dissection
Swine
Operative Time
Gallbladder
Wounds and Injuries
Arteries
Cystic Duct
Abdominal Injuries
Pneumoperitoneum
Electrocoagulation
Cholangiography
Hemostasis
Consensus
Students
Liver
Surgeons

Keywords

  • Laparoscopic cholecystectomy
  • Learning curve
  • Training

ASJC Scopus subject areas

  • Surgery

Cite this

Training in laparoscopic cholecystectomy - Quantifying the learning curve. / Hunter, John; Sackier, J. M.; Berci, G.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 8, No. 1, 01.1994, p. 28-31.

Research output: Contribution to journalArticle

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