Impact of laparoscopic cholecystectomy on resident training: fifteen years later.
Laparoscopic cholecystectomy was first introduced to our surgical community in 1989. In 1993, McKellar reviewed the impact of laparoscopic cholecystectomy on 1 specific surgical training program. Fifteen years later, the authors reexamined the implications of laparoscopic surgery on resident competency with both open and laparoscopic biliary procedures. The data reveal a statistically significant increase in the percentage of laparoscopic cholecystectomies performed when compared with total cholecystectomies (open plus laparoscopic), as well as a trend toward decreasing numbers of total common bile duct explorations performed. A review of the literature that pertains to changes in resident training as related to laparoscopic procedures is included.
O'Bryan
Meghan C
MC
Department of Surgery, Wright State University, Dayton, Ohio 45409, USA. meghan.obryan@wright.edu
Dutro
John
J
D017081:Cholecystectomy, Laparoscopic / Q000193:education* / Q000706:statistics & numerical data / Q000639:trends*; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D018794:Problem-Based Learning / Q000706:statistics & numerical data / Q000639:trends*; D013997:Time Factors