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    Is laparoscopic appendicectomy a safe procedure for trainees in the peripheral hospital setting?

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    Authors
    Emmanuel, A
    Byrne, J
    Wilson, I
    Balfe, P
    Affiliation
    Department of Surgery, St Luke's Hospital, Freshford Road, Kilkenny. arhemmanuel@gmail.com
    Issue Date
    2011-10
    MeSH
    Adult
    Appendectomy
    Female
    General Surgery
    Humans
    Internship and Residency
    Ireland
    Laparoscopy
    Length of Stay
    Male
    Postoperative Complications
    Retrospective Studies
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    Citation
    Is laparoscopic appendicectomy a safe procedure for trainees in the peripheral hospital setting? 2011, 104 (9):276-8 Ir Med J
    Journal
    Irish medical journal
    URI
    http://hdl.handle.net/10147/213510
    PubMed ID
    22132597
    Abstract
    Laparoscopic appendicectomy has become standard in the treatment of acute appendicitis in most hospitals in Ireland. Studies have shown that it is a safe procedure for trainees to perform. However, these studies were conducted in university teaching hospitals whereas a significant proportion of training in Ireland takes place in peripheral hospitals which provide a different training environment. The aim of this study was to determine whether laparoscopic appendicectomy is a safe procedure for surgical trainees to perform in a peripheral hospital setting. A retrospective analysis was performed of appendicectomies carried out at a peripheral hospital over a 12 month period. Comparisons were made between consultant surgeons and trainees for a variety of outcomes. Of 155 appendicectomies, 129 (83.2%) were performed laparoscopically, of which 10 (7.75%) were converted to open. Consultants performed 99 (77%) laparoscopic appendicectomies. There were no statistically significant differences between consultants and trainees in complication rates (19 (19.2%) vs. 4 (13.3%), p = 0.46), mean length of hospital stay (4.7 +/- 4.0 vs. 3.4 +/- 3.3 days, p = 0.13), or rate of conversion to open operation (9 (9.1%) vs. 1 (3.3%), p = 0.45). For cases of complicated appendicitis there were no significant differences between consultants and trainees in complication rates (12 vs. 2, p = 0.40) or length of hospital stay (6.4 +/- 3.9 vs. 4.7 +/- 5.6 days, p = 0.27). We conclude that laparoscopic appendicectomy is a safe procedure for trainees to perform in the peripheral hospital setting and should be incorporated into surgical training programs at an early stage of training.
    Language
    en
    ISSN
    0332-3102
    Ethical Approval
    N/A
    Collections
    St. Luke's Hospital Carlow/Kilkenny

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