2000, Number 4
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ABSTRACTObjective: To train, in a tutorial and intensive fashion, general surgeons in laparoscopic cholecystectomy performed in patients.
Design: Descriptive study.
Setting: Second level health care hospital.
Patients and methods: All patients were referred to the hospital by their family medicine clinics with a diagnosis of chronic lithiasic cholecystitis, without jaundice antecedents. Two training periods were programmed: the first on November 14 to 17, 1998, and the second on March 20 to 27, 1999. Seven candidates applied for the first and six for the second training period. The required theoretical knowledge to perform a laparoscopic cholecystectomy was covered on the first day. From the second to the seventh or eighth day, four to five surgeries were programmed for each operating room, with the participation of two candidates and one tutor for each surgery.
Results: Seven surgeons were trained during the first period, they performed 42 laparoscopic cholecystectomies. Three of the surgeries had to be converted to open surgery. Each candidate handled the camera as a student in six surgeries and as a surgeon in six more. During the second period, 54 patients were subjected to laparoscopic cholecystectomy, of which two had to be converted to open surgery. Each candidate handled the camera in nine patients. No biliary tract was lesioned. Average anesthetic-surgical time was of 2:20 hours.
Conclusion: This academic event allows to train intensively in laparoscopic cholecystectomy tose general surgeons with previous experience in open cholecystectomy.
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