[25 years of laparoscopic surgery in Spain].
BACKGROUND
The introduction of laparoscopic surgery (LS) can be considered the most important advancement in our specialty in the past 25 years. Despite its advantages, implementation and consolidation has not been homogenous, especially for advanced techniques. The aim of this study was to analyse the level of development and use of laparoscopic surgery in Spain at the present time and its evolution in recent years.


METHODS
During the second half of 2012 a survey was developed to evaluate different aspects of the implementation and development of LS in our country. The survey was performed using an electronic questionnaire.


RESULTS
The global response rate was 16% and 103 heads of Department answered the survey. A total of 92% worked in the public system. A total of 99% perform basic laparoscopic surgery and 85,2% advanced LS. Most of the responders (79%) consider that the instruments they have available for LS are adequate and 71% consider that LS is in the right stage of development in their environment.


CONCLUSIONS
Basic laparoscopic surgery has developed in our country to be considered the standard performed by most surgeons, and forms part of the basic surgical training of residents. With regards to advanced LS, although it is frequently used, there are still remaining areas of deficit, and therefore, opportunities for improvement.
Servicio de Cirugía General y Aparato Digestivo, Hospital General Mancha Centro, Alcázar de San Juan, Ciudad Real, España. Electronic address: cmsurgery@hotmail.com.
Carlos
C
Moreno-Sanz
Unidad de Apoyo a la Investigación, Hospital General Mancha Centro, Alcázar de San Juan, Ciudad Real, España.
Jose María
JM
Tenías-Burillo
Servicio de Cirugía General y Aparato Digestivo, Hospitales Universitarios Virgen del Rocío, Sevilla, España.
Salvador
S
Morales-Conde
Servicio de Cirugía General y Aparato Digestivo, Hospital Santa Creu y San Pau, Barcelona, España.
Carmen
C
Balague-Ponz
Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario de Canarias, Tenerife, España.
Hermógenes
H
Díaz-Luis
Servicio de Cirugía General y Aparato Digestivo, Hospital General de Alicante, Alicante, España.
Pablo
P
Enriquez-Valens
Servicio de Cirugía General y Aparato Digestivo, Hospital Marqués de Valdecilla, Santander, España.
Juan Carlos
JC
Manuel-Palazuelos
Servicio de Cirugía General y Aparato Digestivo, Hospital Nuestra Señora del Prado, Talavera de la Reina, Toledo, España.
Sagrario
S
Martínez-Cortijo
Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Arnau de Vilanova, Lérida, España.
Jorge
J
Olsina-Kissler
Servicio de Cirugía General y Aparato Digestivo, Hospitales Universitarios Virgen del Rocío, Sevilla, España.
María
M
Socas-Macias
Servicio de Cirugía General y Aparato Digestivo, Hospital de Medina del Campo, Medina del Campo, Valladolid, España.
Miguel
M
Toledano-Trincado
Servicio de Cirugía General y Aparato Digestivo, Hospital Clinic, Barcelona, España.
Oscar
O
Vidal-Pérez
Servicio de Cirugía General y Aparato Digestivo, Hospital General Universitario de Valencia, Valencia, España.
Juan Francisco
JF
Noguera-Aguilar
Servicio de Cirugía General y Aparato Digestivo, Hospital General Universitario de Castellón, Castellón, España.
José Luis
JL
Salvador-Sanchís
Servicio de Cirugía General y Aparato Digestivo, Hospital de Igualada, Igualada, Barcelona, España.
Xavier
X
Feliu-Pala
Servicio de Cirugía General y Aparato Digestivo, Hospital Santa Creu y San Pau, Barcelona, España.
Eduard M
EM
Targarona-Soler
D006801:Humans; D010535:Laparoscopy / Q000706:statistics & numerical data*; D013030:Spain; D011795:Surveys and Questionnaires; D013997:Time Factors
Advanced laparoscopic surgery; Cirugía laparoscópica; Cirugía laparoscópica avanzada; Encuesta de opinión; Laparoscopic surgery; Survey