Start Submission Become a Reviewer

Reading: Is laparoscopic appendicectomy safe in the hands of junior trainees in surgery?

Download

A- A+
Alt. Display

Scientific Articles

Is laparoscopic appendicectomy safe in the hands of junior trainees in surgery?

Authors:

Nagenthiram Harivallavan ,

Colombo South Teaching Hospital, LK
X close

Malaka Dharmakeerthi Jayawardene,

Colombo South Teaching Hospital, LK
X close

Sumudumali Arundathi Piyarathne,

University of Sri Jeyawardenepura, LK
X close

Arulprashanth Arulanantham,

Colombo South Teaching Hospital, LK
X close

Sanjaya Dimuthu Iddamalgoda,

Colombo South Teaching Hospital, LK
X close

Shanmuganathan Anton Swarnan,

Colombo South Teaching Hospital, LK
X close

Ajith Aloka Pathirana

University of Sri Jeyawardenepura, LK
X close

Abstract

Introduction Laparoscopic appendicectomy (LA) is considered as the mainstay of treatment in acute appendicitis. LA is a basic laparoscopic procedure and therefore can be used as a training tool for surgical trainees. It is considered an index operation for junior surgical trainees. This study aims to assess whether LA is safe to be carried out by a junior surgical trainee.

Methodology The study was conducted at a tertiary care unit in Colombo. Data were collected retrospectively. A total of 152 LA (including those which were converted to open appendicectomy) performed between January 2018 to May 2019, by surgical trainees (both junior and senior) were included. Gender, age, initial investigation findings, intraoperative findings, operative time, hospital stay, postoperative complications and histology data were analysed. Findings were compared in two groups – operated by junior and senior surgical trainees.

Results One hundred and three surgeries were performed by junior trainees while 49 were performed by senior trainees. There was no significant difference in complicated appendicitis (21.4% vs 34.7%), operative time (71m vs 68m), conversion rate (12.6% vs 16.3%) and hospital stay (3d vs 3d) between these two groups. The overall complication rate was 3.9%.

Conclusion Our findings were comparable to previously published data and no statistically significant difference was noted between the two trainee groups in terms of operative finding, hospital stay and postoperative complications. The results suggest that LA can safely be performed by the junior surgical trainees with acceptable outcomes.

How to Cite: Harivallavan, N., Jayawardene, M.D., Piyarathne, S.A., Arulanantham, A., Iddamalgoda, S.D., Swarnan, S.A. and Pathirana, A.A., 2020. Is laparoscopic appendicectomy safe in the hands of junior trainees in surgery?. Sri Lanka Journal of Surgery, 38(2), pp.01–05. DOI: http://doi.org/10.4038/sljs.v38i2.8686
Published on 31 Aug 2020.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus