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Is laparoscopic appendicectomy a safe procedure for trainees in the peripheral hospital setting?
Emmanuel, A Byrne, J Wilson, I Balfe, P
Emmanuel, A
Byrne, J
Wilson, I
Balfe, P
Authors
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Editors
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Date
2011-10
Date Submitted
Keywords
Other Subjects
Subject Mesh
Adult
Appendectomy
Female
General Surgery
Humans
Internship and Residency
Ireland
Laparoscopy
Length of Stay
Male
Postoperative Complications
Retrospective Studies
Appendectomy
Female
General Surgery
Humans
Internship and Residency
Ireland
Laparoscopy
Length of Stay
Male
Postoperative Complications
Retrospective Studies
Planned Date
Start Date
Collaborators
Principal Investigators
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Article6233.pdf
Adobe PDF, 11.9 KB
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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
eISSN
ISBN
DOI
PMID
22132597
PMCID
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Ethical Approval
N/A