New England Surgical Society (NESS)
Search NESS
  Home
  Annual Meeting
  Annual Resident and Fellow Research Day
  Members
      Member Directory
      Members Only
  Scholars Foundation
  Job Board
  Awards
  Journal of the American College of Surgeons
  Newsletters
  Committees
  Contact NESS

90th Annual Meeting Abstracts


The Impact of Laparoscopy on the Volume of Open Cases in General Surgery Training
*Fuad Alkhoury, MD, *Jeremiah T Martin, MD, *Jack Contessa, PHD, Steven Yood, MD, MPH, *Randall Zukerman, MD, *Geoffrey Nadzam, MD
Hospital of Saint Raphael, New Haven, CT

Objective: The purpose of this study was to evaluate the impact of laparoscopy on the volume of open cases in general surgery residency training over the past 10 years
Design: The ACGME database (1999-2008), which records all cases (by Current Procedural Terminology [CPT] code) performed by graduating general surgery trainees, was retrospectively analyzed
Setting: Accreditation Council for Graduate Medical Education (ACGME) database (1999-2008)
Main Outcome Measures: Trends were compared regarding the average number of the most common laparoscopic versus open procedures (colectomy, hernia and appendectomy) performed by graduating general surgery trainees over the reporting period
Results: Across all procedures, an increase was noted in laparoscopic approaches with a reciprocal decrease in open cases. The number of open appendectomies decreased by 29% (30.7 to 21.7), while the number of laparoscopic appendectomies increased by 278% (8.5 to 32.1). Similarly open inguinal hernia cases decreased by 12.5%(51.9 to 45.4) and open colectomy cases decreased by 10.4% (48 to 43). Conversely increases in laparoscopic hernia repair of 87.5% (8 to 15) and laparoscopic colectomy of 550% (2 to 13) were noted
Conclusions: In addition to the limitations placed upon residency training by other factors (including work hour restrictions), changing practice patterns within the field of general surgery have a significant impact on the exposure of residents to open surgery. This trend may have far-reaching implications with regard to overall competency of graduating residents and raises concerns for the future direction of surgical education


 

Copyright © 2018 New England Surgical Society. All Rights Reserved.
Read Privacy Policy.