title: Laparoscopic appendicectomy: a training model for laparoscopic right hemicolectomy?
abstract: OBJECTIVE
  To analyse the outcome of laparoscopic appendicectomy and right hemicolectomy and see if the surgical approach to the former can be applied to the latter.
  
  
  METHODS
  A prospective electronic laparoscopic database identified 330 appendicectomies and 78 right hemicolectomies (using this approach) between 1996 and 2005.
  
  
  RESULTS
  Three hundred and thirty patients (188 males: median age 38 years, range 17-74 years) underwent laparoscopic appendicectomy; 270 (82%) were performed by trainees (higher surgical trainee 71%, basic surgical trainee 12%). The median operative time for trainees was 35 min (14-75 min) with a conversion rate 2%. There were no intra-operative complications. The postoperative complication rate excluding minor wound infection (5.5%) was 1.5%. There were no deaths. The median hospital stay was 2 days (1-15 days). The 30-day readmission rate was 1%. Seventy-eight patients (23-93 years) underwent laparoscopic right hemicolectomy during 2004/5; trainees performed parts thereof in the majority or all of the surgery in 25 cases. The median operation time was 55 min: trainees 115 (65-145 min). There was one conversion. The median hospital stay was 4 days (2-23 days) falling to 3 for the last 20 operations (1-8 days). There were two readmissions for wound sepsis and small bowel obstruction and three deaths (3.8%): anastomotic leak (one), C difficile infection leading to renal failure (one) and duodenal perforation (one).
  
  
  CONCLUSIONS
  Laparoscopic appendicectomy is a safe, predictable, easily learnt operation and an ideal model for learning the skills and principles required for more advanced laparoscopic colorectal interventions and in particular, right hemicolectomy.
authors.affiliation: Department of Laparoscopic Colorectal Surgery, North Bristol NHS Trust, Frenchay Hospital, Bristol, UK.
authors.forename: S
authors.initials: S
authors.lastname: Pandey
authors.forename: S
authors.initials: S
authors.lastname: Slawik
authors.forename: K
authors.initials: K
authors.lastname: Cross
authors.forename: R
authors.initials: R
authors.lastname: Soulsby
authors.forename: A M
authors.initials: AM
authors.lastname: Pullyblank
authors.forename: A R
authors.initials: AR
authors.lastname: Dixon
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001062:Appendectomy / Q000193:education / Q000379:methods*; D002983:Clinical Competence; D003082:Colectomy / Q000193:education* / Q000379:methods*; D015179:Colorectal Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies