{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T07:15:40Z","timestamp":1684394140786},"reference-count":19,"publisher":"Index Copernicus","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>was to assess safety of elective laparoscopic cholecystectomy (LC) performed by residents that are undergoing training in general surgery.<\/jats:p><jats:p>. A retrospective analysis was conducted on 330 patients operated electively due to cholelithiasis. Patients with acute cholecystitis, choledocholithiasis, undergoing cholecystec-tomy as a part of more extensive operation and patients with gall-bladder cancer were excluded. Group 1 included patients operated by resident, group 2 \u2013 by specialist. Duration of operation, mean blood loss, number of major complications, number of conversions to the open technique and conversions of the operator, reoperations and length of hospital stay were analyzed.<\/jats:p><jats:p>Mean operative time overall was 81 min (25 \u2013 170, SD\u00b128.6) and 71 min (30-210, SD\u00b129.1) in groups 1 and 2 respectively (p=0.00009). Mean blood loss in group 1 was 45\u00b168.2 ml and in group 2 \u2013 41\u00b173.4 ml (p=0.23). Six major complications has occurred (1.81%) \u2013 2 (2%) in group 1 and 4 (1.7%) in group 2. 18 cases (15.5%) of conversion of the operator occurred in group 1, and 6 cases (2.6%) of conversion of the operator happened in group 2. Average LOS was 1.9 days in group 1 and 2.3 days in group 2 (p=0.03979).<\/jats:p><jats:p>Elective LC performed by a supervised resident is a safe procedure. Tactics of \u201cconversion of operator\u201d allowed to prevent major complications. Longer LC by residents is natural during the learning curve. Modifications of residency program in the field of laparoscopy may increase its accessibility.<\/jats:p>","DOI":"10.1515\/pjs-2015-0084","type":"journal-article","created":{"date-parts":[[2016,1,20]],"date-time":"2016-01-20T14:50:04Z","timestamp":1453301404000},"source":"Crossref","is-referenced-by-count":2,"title":["Elective Laparoscopic Cholecystectomy \u2013 Is It Safe In The Hands Of Residents During Training?"],"prefix":"10.5604","volume":"87","author":[{"given":"Micha\u0142","family":"Kisielewski","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Micha\u0142","family":"P\u0119dziwiatr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdalena","family":"Pisarska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piotr","family":"Major","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mateusz","family":"Rubinkiewicz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maciej","family":"Mat\u0142ok","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcin","family":"Migaczewski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piotr","family":"Budzy\u0144ski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrzej","family":"Budzy\u0144ski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"ref41","doi-asserted-by":"crossref","first-page":"3680","DOI":"10.3748\/wjg.v20.i13.3680","article-title":"Vet Evidence based medicine and surgical approaches for colon cancer : Evidences , benefits and limitations of the laparoscopic vs open resection","volume":"20","author":"Lorenzon","year":"2014","journal-title":"World J Gastroenterol"},{"key":"ref111","first-page":"747","article-title":"Vet Laparoscopic cholecystectomy as a teaching operation : comparison of outcome between residents and attending surgeons in patients Jan","author":"Fahrner","year":"2012","journal-title":"Langenbecks Arch Surg"},{"key":"ref11","first-page":"80","article-title":"The impact of laparoendoscopic surgery on the training of surgical residents Oct","author":"Sefr","year":"1995","journal-title":"Int Surg"},{"key":"ref101","first-page":"182","article-title":"The tail of the learning curve for laparoscopic cholecystectomy","author":"Voitik","year":"2001","journal-title":"Am J Surg"},{"key":"ref181","first-page":"010479","article-title":"BRet Laparoscopic surgical box model training for surgical trainees with no prior laparoscopic experience Jan CD","volume":"17","author":"Nagendran","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"ref71","first-page":"55","article-title":"Win Laparoscopy training in Belgium : results from a nationwide survey , in urology , gynecology , and generalsurgery residents Jan","volume":"30","author":"De","year":"2015","journal-title":"Adv Med Educ Pract"},{"key":"ref191","first-page":"006575","article-title":"Virtual reality training for surgicaltrainees in laparoscopic surgery Jan CD","volume":"21","author":"Gurusamy","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/S1470-2045(13)70016-0","article-title":"der Pas MAet Laparoscopic versus open surgery for rectal cancer ( COLOR II short - 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