STUDY AIM: The aim of this retrospective study was to compare two concurrent series of @entity1 operated on for @entity169 with the same laparoscopic procedure, the first one in a teaching hospital with a number of trained surgeons and the second one in a private center with only one trained surgeon. @entity1 AND METHOD: Five hundred and forty-one @entity1 with 757 @entity547 were operated on over a period of six years by a totally pre-peritoneal laparoscopic approach. Two hundred and sixteen @entity1 were operated on in a teaching hospital by 48 surgeons (six senior and 42 trainee surgeons; group I), 325 were operated on in a private center by one surgeon who had been trained in the same teaching hospital (group II). The two groups of @entity1 and their @entity547 were comparable. The comparison was established on the following criteria: duration of operation, rate of conversion, length of hospitalization, morbidity and mortality rate, recurrence rate and costs. RESULTS: Operations performed by surgical trainees were associated with: (1) a mean operative time significantly (P = 0.01) longer for both unilateral (68 vs. 41 min) and bilateral (108 vs. 68 min) @entity547 . The operative time did not change in the teaching hospital and decreased with experience in private practice (from 62 to 25 min for unilateral @entity547 ); (2) more frequent per-operative complications, particularly opening of the peritoneum (28% vs. 3%, P = 0.001); (3) a mean duration of hospitalization significantly (P = 0.05) longer, on average by 1.6 d; (4) a morbidity rate after 30 days significantly higher (16.2% vs. 4.9%, P = 0.01); and, (5) higher costs. There was no significant difference concerning mortality rate (nil), conversion rate (1.5%) and recurrence rate (1.3% vs. 0.6%, non significant). CONCLUSION: Surgical training for laparoscopic treatment of @entity169 was associated with a longer operation time and hospital stay, and with higher morbidity and costs. After a good initial training in a teaching hospital, surgeons were capable of performing laparoscopic repair of @entity169 with good results.

[Effects of surgical education and training on the results of laparoscopic treatment of XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity169 :: ('MESH:D006552', 'Disease') :: ['inguinal hernias', 'inguinal hernia'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernias']
@entity169 :: (MESH:D006552,Disease) :: ['inguinal hernias']
