Result of senior resident training program for laparoscopic colectomy Hisanaga HORIE 1 , Koji KOINUMA 1 , Yoshiyuki INOUE 1 , Ai SADATOMO 1 , Yoshihiko KONO 1 , Katsusuke MORI 1 , Mitsuaki MORIMOTO 1 , Naohiro SATA 1 1Department of Surgery, Jichi Medical University Keyword: 腹腔鏡下大腸切除術 , シニアレジデント , トレーニング pp.297-303
Published Date 2018/5/15
DOI https://doi.org/10.11477/mf.4426200552
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We report the outcome of training program for senior residents for laparoscopic colectomy. From April 2014 to March 2017, 20 senior residents participated in a four-month training program in our department. The residents served as camera operator for the first month, then participated in one-day animal surgery laboratory experience. For the last three months, they served as operator under the supervision of surgeons certified by the Japan Society for Endoscopic Surgery. A total of 63 patients with colon cancer underwent laparoscopic colectomy performed by the residents. Median operating time for ileocolic resection (n=40) was 190 minutes and sigmoidectomy (n=23) was 232 minutes. Fifty one of the 63 procedures (81%) were completed by residents. There were no conversions to open surgery. There were no major postoperative complications such as anastomotic leakage or ileus. Under this training program, laparoscopic colectomy was performed safely by the senior residents.

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