Getting residents in the game: an evaluation of general surgery residents’ participation in pediatric laparoscopic surgery

The Gap in Laparoscopic Colorectal Experience Between Colon and Rectal and General Surgery Residency Training Programs

“…Of the 356 cases performed, 10 of these cases, or 2.8 percent, recorded adverse intraoperative or postoperative outcomes. 14 Similar to our methods, Chung et al 15 reviewed the laparoscopic experience of United States general surgery residents between 1994 and 2001 by examining data published from the ACGME. Chung et al 15 concluded that the average graduating surgical resident would be competent in performing laparoscopic inguinal-femoral hernia repair and fundoplication.…”

A Roadmap for the Establishment of Pediatric Laparoscopic Fundoplication

“…Once they have acquired the necessary skills and confidence in advanced laparoscopy, they enter the final stage of the cycle and allow trainees to perform their cases under supervison. We, and others, 17 have shown that the results of supervised trainees performing LF are no different to those of consultants. The involvement of trainees in 98% of cases over the last 5 years has helped to minimize the disruption to training during this period of transition.…”

Laparoscopic pyloromyotomy: effect of resident training on complications

“…Our study differs from the study by Gollin et al [18] where they analyzed resident level and postoperative outcomes after several pediatric laparoscopic surgeries including pyloromyotomy. They did not see any difference in outcomes upon comparing PGY2, PGY3, and PGY4 residents with technical complication rates of 10% (1/10), 0 (0/24), and 2.6% (1/38), respectively.…”

“…A high-volume institution like ours is an excellent setup to study the effects of resident training, as the major factors influencing the outcome suggested by other authors (hospital volume, surgical volume, and specialized pediatric care) are controlled. Prior studies evaluating the influence of resident level on operative outcomes have been variable [17][18][19][20][21][22]. Resident training effects on the outcomes have been reported in adult surgery literature for laparoscopic cholecystectomy [20,23] and inguinal hernia repair [22].…”