Abstract

LOPEZ ESPINOSA, Guillermo; DE LA ROSA AGUIRRE, Primo Armando  and  LEE ROJO, Sergio Arturo. Basic-laparoscopic-surgery teaching model in general surgery residents. Rev. Fac. Med. (Méx.) [online]. 2013, vol.56, n.4, pp.16-23. ISSN 2448-4865.

Laparoscopic surgery has been established as the gold standard in basic procedures. In spite of this, not all residencies in Latin America include the required systematization for the teaching of these procedures. Objective: To assess whether the training in four years is safe and enough for the teaching of basic laparoscopy. Material and methods: Prospective, descriptive, observational and transversal study in 1104 patients operated on from January 2008 to October 2011. Considering specific inclusion criteria and collecting complication and general variables to evaluate descriptive statistics of central tendency. Results: 714 (65%) cholecystectomies, 375 (34%) fallopian tube obstruction and the rest for cholecystectomy plus fallopian tube obstruction and ovarian cysts, women 94%, male 6%. The average surgical time was 48 minutes for cholecystectomy and 21 minutes for fallopian tube obstruction. The American technique with one hand was used in all cholecystectomy cases, whereas the 2-hand technique was used in all the cases of fallopian ube obstruction. In 73.2% of operations, the assistant was helper was a graduated doctor, and in 25% of cases the assistant was a senior resident. The rate of minor complications in the first 30 days was 1.8%, without any major complication. Conclusion: Handed technique Cholecystectomy and the OTB are safe and for both the surgeon and Assistant not very high learning curve, this can be seen at the end of his 4 years of training the residents of this hospital, they have the skill and knowledge necessary for basic laparoscopic surgery.

Keywords : Laparoscopic surgery; cholecystectomy; fallopian tube obstruction.