The American Journal of Surgery
Volume 197, Issue 4 , Pages 447-449 , April 2009

Can everyone achieve proficiency with the laparoscopic technique? Learning curve patterns in technical skills acquisition

  • Teodor P. Grantcharov, M.D., Ph.D.

      Affiliations

    • University of Toronto, St. Michael's Hospital, Toronto, Canada
    • Corresponding Author InformationCorresponding author. Tel.: +1-416 864 5748; fax: +1-416 864 5343
    • ,
  • Peter Funch-Jensen, M.D., D.Sc.

      Affiliations

    • Aarhus University Hospital, Aarhus, Denmark

Received 12 November 2007 ,Revised 24 January 2008

References 

  1. Deziel DJ, Millikan KW, Economou SG, et al. Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg. 1993;165:9–14
  2. Flum DR, Koepsel T, Heagerty P, et al. The nationwide frequency of major adverse outcomes in antireflux surgery and the role of surgeon experience, 1992–1997. J Am Coll Surg. 2002;195:611–618
  3. Watson DI, Baigrie RJ, Jamieson GG. A learning curve for laparoscopic fundoplication (Definable, avoidable, or a waste of time). Ann Surg. 1996;224:198–203
  4. Grantcharov TP. Evaluation of surgical competence. Ugeskr Laeger. 2004;166:2023–2025
  5. Grantcharov TP, Bardram L, Funch-Jensen P, et al. Learning curves and impact of previous operative experience on performance on a virtual reality simulator to test laparoscopic surgical skills. Am J Surg. 2003;185:146–149
  6. Taffinder N, Sutton C, Fishwick RJ, et al. Validation of virtual reality to teach and assess psychomotor skills in laparoscopic surgery: results from randomised controlled studies using the MIST VR laparoscopic simulator. Stud Health Technol Inform. 1998;50:124–130
  7. Cater FJ, Schijven MP, Aggarwal R, et al. Consensus guidelines for validation of virtual reality surgical simulators. Surg Endosc. 2005;19:1523–1532
  8. Aggarwal R, Moorthy K, Darzi A. Laparoscopic skills training and assessment. Br J Surg. 2004;91:1549–1558
  9. ACGME Outcome Project. General competencies, Accreditation Council for Graduate Medical Education, Chicago. http://www.acgme.org/outcome/comp/compFull.aspAccessed July 20, 2006
  10. Darzi A, Smith S, Taffinder N. Assessing operative skill (Needs to become more objective). Br Med J. 1999;318:887–888

PII: S0002-9610(08)00361-9

doi: 10.1016/j.amjsurg.2008.01.024

The American Journal of Surgery
Volume 197, Issue 4 , Pages 447-449 , April 2009

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