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Laparoscopic Appendectomy: A Safe Procedure that can be Performed by Surgical Residents

Authors
박중민김진김정윤최동진김선한김종석서성옥김영철
Issue Date
Nov-2008
Keywords
Laparoscopic appendectomy; Surgical resident; Surgery education; 복강경 충수절제술; 외과 전공의; 외과 교육
Citation
대한외과학회지, v.75, no.5, pp.315 - 322
Indexed
KCI
Journal Title
대한외과학회지
Volume
75
Number
5
Start Page
315
End Page
322
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/52750
ISSN
2288-6575
Abstract
Purpose: Although laparoscopic surgery has many advantages and has become popular in various disease settings, surgical residents do not yet have sufficient opportunity to perform laparoscopic surgery. Appendectomies are the most common procedures performed by surgical residents, and they may be suitable for gaining them laparoscopic experience. We had our residents perform laparoscopic appendectomies and analyzed clinical outcomes to verify the utility of this procedure in providing laparoscopy education. Methods: Between September 2006 and December 2007, 384 patients with a preoperative diagnosis of acute appendicitis underwent laparoscopic appendectomy (n=191, LA) or open appendectomy (n=193, OA). Patient demographic data and outcomes for the two groups were compared. In the LA group, cases performed by surgical residents were compared against those performed by surgical specialists. Results: Both groups of patients were comparable demographically. The incidence of complicated appendicitis in the LA group was 19.4% and that in the OA group was 25.9% (P=0.126). Operative time was similar between the two groups. Postoperatively, recovery time was shorter in the LA group than in the OA group, especially for patients with non-complicated appendicitis. LA performed by surgical residents showed similar outcomes, including operative time and postoperative recovery parameters. Conclusion: Laparoscopic appendectomy appears to have many advantages, such as less pain, rapid postoperative recovery, and more economic differential diagnosis. This procedure can be performed safely by surgical residents. Thus, laparoscopic appendectomy is a suitable procedure for laparoscopic surgery education for surgical residents. (J Korean Surg Soc 2008;75:315-322)
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2. Clinical Science > Department of Foregut Surgery > 1. Journal Articles
2. Clinical Science > Department of Hepato-Biliary-Pancreatic Surgery > 1. Journal Articles
2. Clinical Science > Department of Colon and Rectal Surgery > 1. Journal Articles

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Anam Hospital (Department of Colon and Rectal Surgery, Anam Hospital)
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