2006, Number 3
Learning curve in Laparoscopic Fundoplication
Camacho-Coronado R, González-Romero G, Romero-Montes V, Suárez-Nadal JE, Valencia-Moncada J
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Language: Spanish
References: 6
Page: 112-116
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ABSTRACT
Introduction: Gastroesophageal reflux disease is an increasingly common condition in children. Fundoplication, open or laparoscopic procedure of choice for correction. The purpose of this study is the learning curve of this modality in the resident physician in training.Material and Methods: We conducted a prospective, descriptive, longitudinal, observational study of all patients who underwent laparoscopic fundoplication in a period of 30 months, from September 2002 to February 2005.
Results: Elective surgically so 87 patients, of whom 49 (56%) were male and 38 (44%) were females, with an age range of one to 17 years, with an average of 6.08 years.
There were two immediate complications, both occurred in the first half of the study, one by a resident surgeon, which consisted of perforation of the anterior wall of gastric fundus and the other by surgeon attached, characterized by bleeding by damaging a glass of mesentery during placement of a trocar, both satisfactorily addressed.
Discussion: A resident physicians of Pediatric Surgery, they are instructed to perform minimally invasive surgery. According to the results obtained in this study, the learning curve of a house physician is acceptable and similar to that described by other authors worldwide.
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