ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Laparoscopic appendectomy performed by residents and experienced surgeons.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Operative Outcomes and Training Equity in Appendicectomy: Are Core Surgical Trainees Getting a Fair Chance?Cureus · 2025Article
- Trainee as trainer in paediatric laparoscopic appendicectomy.Annals of the Royal College of Surgeons of England · 2025Article
- Trend of minimally invasive and open surgery experience of general surgery residents: Accreditation Council for Graduate Medical Education general surgery case log in Thailand.Journal of minimally invasive surgery · 2023Article
- Routine use of laparoscopic techniques in daily practice improves outcomes after appendectomy.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- 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
- Laparoscopic appendectomy as an index procedure for surgical trainees: clinical outcomes and learning curve.Updates in surgery · 2021Article
- Safety assessment of open appendectomies for complicated acute appendicitis in children: a comparison of trainees and specialists.Pediatric surgery international · 2020Article
- Feasibility and Safety of Laparoscopic Appendectomy Performed by Residents with No Experience in Open Appendectomy.JMA journal · 2019Article
- Impact of tutorial assistance in laparoscopic sigmoidectomy for acute recurrent diverticulitis.Surgery today · 2014Article
- Trend, variability, and outcome of open vs. laparoscopic appendectomy based on a large administrative database.Surgical endoscopy · 2012Article
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Authors and funding
14 authors.
Funding
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Abstract
backgroundLaparoscopic appendectomy is widely performed by surgical residents, but its changing indications and outcomes have been poorly investigated. The aim of this study was to examine whether a difference exists in indications and outcomes between laparoscopic appendectomies performed by residents and those performed by experienced surgeons.
methodsBetween 1999 and 2007, 218 laparoscopic appendectomies were performed and recorded. Data were analyzed to compare operations performed by residents with those by experienced surgeons in terms of indications for surgery and severity of disease. Moreover, laparoscopic appendectomies were thoroughly compared regarding outcomes and complications.
resultsThe residents had fewer conversions with laparoscopic appendectomy (8% vs 17%, P=0.04), and similar complication rates (12% vs 13%, P=0.16), compared with experienced surgeons. The median operating time was also comparable (67 minutes vs 60 minutes, P=0.23). However, patients operated on by residents had more emergencies (86% vs 70%, P=0.009), included more foreigners (27% vs 15%, P=0.03), and had intermediate to severe diseases, (81 vs 52%, P<0.001) than patients did operated on by experienced surgeons.
conclusionsSurgical residents performed more emergency laparoscopic appendectomies on foreign patients suffering from intermediate to severe diseases compared with experienced surgeons, with comparable surgical outcomes and lower conversion rates.
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