Journal of laparoendoscopic surgery
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J Laparoendosc Surg · Oct 1995
Comparative StudySenior versus proctored young and resident surgeons' experience in laparoscopic cholecystectomy: is there any need of previous exposure to open biliary surgery?
Since its introduction in 1987 laparoscopic cholecystectomy (LC) has gained rapid acceptance as the preferred management of symptomatic cholelithiasis. In our department, during the past 3 years, the number of open cholecystectomies (OCs) has dramatically decreased. The impact of the introduction of LC as a part of the overall surgical procedures performed by residents is analyzed. ⋯ More intraoperative cholangiographies (IOCs) were performed by residents. This was probably due to the anxiety of making a mistake because of their lack of experience. This report suggests that the decrease in the number of OCs is not a drawback and that it is possible to acquire an adequate knowledge of biliary anatomy and surgery from LC training, if strict proctoring criteria are respected.
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J Laparoendosc Surg · Oct 1995
Case ReportsManagement of cecal perforation secondary to Ogilvie's syndrome by laparoscopic tube cecostomy.
Acute pseudoobstruction of the colon (Ogilvie's syndrome) rarely leads to perforation of the colon. A case of such a perforation is described that was successfully managed laparoscopically with tube cecostomy.