Laparoscopic Cholecystectomy: Training, Learning Curve, and Definition of Expert
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The most important element in training a specific surgical procedure remains the hands-on training on a real patient with an experienced surgeon at the trainee’s side. Virtual reality training can supplement standard laparoscopic surgical training of apprenticeship and is as effective as video trainer training in supplementing standard laparoscopic training.
It’s recommended that the learning curve be performed initially in only carefully selected patients under the supervision of an experienced surgeon. Virtual or standard laparoscopic training can significantly increase the skills and reduce the learning curve in LC.
The number of procedures required to reach proficiency in laparoscopic surgery has not been defined clearly. The expert as defined by the skills and experience cannot be numerically validated. The expert is to be the right harmony between experience, technical skills, and predispositions of the individual surgeon. However, the definition of “expert” cannot be separated from the concept of hospital volume and surgeon volume.
KeywordsLaparoscopic Cholecystectomy Virtual Reality Learning Curve Bile Duct Injury Surgical Trainee
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