ArticleSurgical endoscopy2010
Laparoscopic appendectomy by residents: evaluating outcomes and learning curve.
Article in Surgical endoscopy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01567098 (Single Incision Versus Conventional 3-Port Laparoscopic Appendectomy), which is not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Single Incision Versus Conventional 3-Port Laparoscopic Appendectomy: A Single Center Prospective Randomized Trial
Who cites it
35 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Pooled it
- Optimizing modern surgical simulation through instructor feedback - insights from a retrospective observational study in a tertiary hospital.BMC medical education · 2024Observational
- Internal and external factors affecting the performance score of surgical trainees doing laparoscopic appendectomy: a prospective, observational cohort study in a structured training programme.Surgical endoscopy · 2024Observational
- How does the number of training years in pediatric surgery affect appendectomy outcomes?Pediatric surgery international · 2023Article
- Graded operative autonomy in emergency appendectomy mirrors case-complexity: surgical training insights from the SnapAppy prospective observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Observational
- Training curriculum in minimally invasive emergency digestive surgery: 2022 WSES position paper.World journal of emergency surgery : WJES · 2023Review
- Challenges to implement laparoscopic appendectomy as the first-line treatment for acute appendicitis: a fifteen-year experience in a tertiary hospital in Brazil.Revista do Colegio Brasileiro de Cirurgioes · 2023Article
- Factors Influencing the Difficulty and Need for External Help during Laparoscopic Appendectomy: Analysis of 485 Procedures from the Resident-1 Multicentre Trial.Journal of personalized medicine · 2022Article
- Proctored preceptorship model for learning eTEP repair for inguinal hernia for general surgery residents.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Learning curve in laparoscopic appendectomy: training strategy of laparoscopic surgery.Annals of coloproctology · 2022Article
- Feasibility of safe laparoscopic surgery performed by junior residents without exposure of open appendectomy: A retrospective study.Journal of family medicine and primary care · 2022Article
- Deciphering the inflection points to achieve proficiency for each procedure step during training in laparoscopic appendicectomy.BJS open · 2021Observational
- Laparoscopic appendectomy as an index procedure for surgical trainees: clinical outcomes and learning curve.Updates in surgery · 2021Article
- Resident Learning Curve for Laparoscopic Appendectomy According to Seniority.Annals of coloproctology · 2020Article
- Feasibility and Safety of Single-Incision Laparoscopic Appendectomy by a Surgical Resident under Supervision of a Staff Surgeon.Journal of minimally invasive surgery · 2019Article
- Feasibility and Safety of Laparoscopic Appendectomy Performed by Residents with No Experience in Open Appendectomy.JMA journal · 2019Article
- Single-Incision, Two-Port Laparoscopic Appendectomy as an Alternative to Transumbilical Single-Port Laparoscopic Appendectomy.Journal of minimally invasive surgery · 2019Article
- Laparoscopic Appendectomy: Minimally Invasive Surgery Training Improves Outcomes in Basic Laparoscopic Procedures.World journal of surgery · 2018Article
- Laparoscopic appendectomy for acute appendicitis: How to discourage surgeons using inadequate therapy.World journal of gastroenterology · 2017Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic appendectomy is being performed increasingly, worldwide. To the resident, it provides a valuable opportunity to master basic laparoscopic skills. Studies have shown that laparoscopic appendectomy performed by residents is safe. However, to date, there is no clear evidence for the minimum number of these operations required to achieving proficiency and safety. The aim of this study is to assess the outcome of laparoscopic appendectomies performed by surgical residents and to evaluate the effect of learning curve on patient outcome.
methodsAll patients undergoing laparoscopic appendectomies performed by six residents during the study period were reviewed. Data on patient demographics,clinical and histological diagnosis, and outcome variables including operative duration, conversion to open surgery, complications, and length of stay were analyzed. We evaluated the effect of the learning curve by dividing patients into two groups: a first group consisting of the initial 20 patients and a second group consisting of the next 20 patients operated upon independently by each resident. Variables were analyzed to determine any difference between the two groups.
resultsThree hundred six patients with the clinical diagnosis of acute appendicitis underwent laparoscopic appendectomy by residents. Mean operative time was 83.8 min. Of patients, 14.6% required conversion to open surgery. Mean length of hospitalization was 2.82 days. Operative duration and complication rate were significantly reduced with increasing experience of residents. The length of hospital stay and conversion rate to open surgery remained unchanged.
conclusionOperative duration and complications can be reduced with increasing experience of a resident.
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Registered trials
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