A Retrospective Study Evaluating the Impact of Formal Laparoscopic Training on Patient Outcomes in a Residency Program

R. Wayne Whitted, Paul A. Pietro, George Martin, Greg Latchaw, Carlos Medina, Stephen L. Corson

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Study Objective. To evaluate the impact of a formal laparoscopic training program on patient outcomes in an obstetrics and gynecology residency. Design. Retrospective cohort study (Canadian Task Force classification II-1). Setting. University-affiliated public hospital. Intervention. Comparison of nonlaparoscopy-trained group (A) with a formally trained group (B). Subjects. Three hundred sixty-eight women (group A) and 154 women (group B) undergoing operative laparoscopy. Measurements and Main Results. Beginning October 1, 1999, residents, regardless of postgraduate year status, participated in six 4-hour sessions/year in a committed laparoscopic training program consisting of didactics, bench exercises (designed to mimic laparoscopic gynecologic technical skills), instrumentation instruction, animate tissue model surgery, and supervised gynecologic operating experience. Two certified gynecology laparoscopists facilitated each training session, and gynecologists with various laparoscopic skill levels supervised patient surgeries. Operating room time, blood loss, hospital stay, and conversion to laparotomy were less for group B than for group A, but the groups did not differ in complication rates. Adhesions and bleeding were the main reasons for conversion to laparotomy. Conclusion. Formal laparoscopic training of gynecologic residents improved patient outcomes.

Original languageEnglish (US)
Pages (from-to)484-488
Number of pages5
JournalJournal of the American Association of Gynecologic Laparoscopists
Volume10
Issue number4
DOIs
StatePublished - Nov 2003

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Fingerprint Dive into the research topics of 'A Retrospective Study Evaluating the Impact of Formal Laparoscopic Training on Patient Outcomes in a Residency Program'. Together they form a unique fingerprint.

  • Cite this