Tata Mahadevan D, Singh Ranjit, Bakar Azrina A, Selvindoss Paul, P Kandasami, Gurunathan Ramesh
Department of Surgery, Tuanku Ja'afar Hospital, Seremban, Negeri Sembilan, Malaysia.
Asian J Surg. 2008 Apr;31(2):55-8. doi: 10.1016/s1015-9584(08)60058-5.
Appendicectomy is a very common surgical procedure performed by registrars. It is mainly carried out by surgical registrars as an open procedure in many government hospitals. We aimed to evaluate laparoscopic appendicectomy as a laparoscopic training skill in a clinical setting for our registrars.
A retrospective analysis of all attempted laparoscopic appendicectomies over 12 months by experienced surgeons and registrars was done. Factors evaluated were operating time, conversion rate, postoperative hospital stay, morbidity and mortality.
There was no statistically significant difference in operating time for surgeons and registrars (mean, 53 minutes vs. 60 minutes), conversion rate (10% vs. 11%). Mean hospital stay for patients operated on by surgeons was 3.1 days and 3.2 days for registrars. Morbidity was equal with both surgeons and registrars.
We conclude that laparoscopic appendicectomy is a safe laparoscopic training tool for registrars with basic laparoscopic knowledge who have had a proper apprenticeship, and can be done in a clinical setting.
阑尾切除术是住院医师实施的一种非常常见的外科手术。在许多政府医院，主要由外科住院医师以开放手术的方式进行。我们旨在评估腹腔镜阑尾切除术作为一种针对我们住院医师的临床腹腔镜培训技能。
对经验丰富的外科医生和住院医师在12个月内所有尝试进行的腹腔镜阑尾切除术进行回顾性分析。评估的因素包括手术时间、中转率、术后住院时间、发病率和死亡率。
外科医生和住院医师的手术时间（平均53分钟对60分钟）、中转率（10%对11%）无统计学显著差异。外科医生手术患者的平均住院时间为3.1天，住院医师为3.2天。外科医生和住院医师的发病率相同。
我们得出结论，对于有基础腹腔镜知识且经过适当见习的住院医师而言，腹腔镜阑尾切除术是一种安全的腹腔镜培训工具，并且可以在临床环境中进行。
