[Is there a learning curve for laparoscopic cholecystectomy ?].
The use of laparoscopic surgery it is growing rapidly in Romania. We have tried to find if a learning curve for laparoscopic cholecystectomy exists and we have evaluated our training program to insure the quality of health care.


METHODS
There where analyzed 2585 procedures performed by 22 surgeons. The relationship between operative incidents/accidents and laparoscopic experience was evaluated. With a regression model we have find the tendency of these relationship.


RESULTS
Surgeons appear to learn this procedure rapidly.


CONCLUSIONS
Training curses with hands-on experience with animal models and proctoring from an experienced laparoscopist at the first 30 operations is needed, for each individual surgeon, to insure the quality of health care.
Clinica de Chirurgie Generală, Spitalul Clinic de Urgenţă Sf. Ioan, Sos. Vitan Bârzeşti nr. 13, sector 4, Bucureşti. florin.turcu@net4u.ro
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D000818:Animals; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000193:education*; D002983:Clinical Competence; D003196:Computer Graphics; D006801:Humans; D023421:Models, Animal; D011446:Prospective Studies; D012044:Regression Analysis; D012383:Romania; D013552:Swine