ABSTRACT

Aim: An Overview of Analysis of Learning Curve of Laparoscopic Procedures in General Surgery Residents in Khyber Teaching Hospital, Peshawar.

Methodology: A descriptive KAP (knowledge attitude and practice) study was conducted in Khyber teaching hospital (KTH) from January 2021 to March 2021. A total of 24 surgical residents of 3^rd and 4^th year residency working in different surgical units were part of the study. Experience of residents performing procedures under supervision, assistance or by means of observation was recorded by a self administered questionnaire.

Results: A number of 24 surgical residents of 3^rd and 4^th year residency of general surgery were part of the study. Frequency of 3^rd yr residents was 13(54.2%) and that of 4^th yr was 11(45.8%). Number of 6(25%) observed basic laparoscopy, 8(33%) advanced procedures and 10(41.7%) observed both types of procedure. 23(95.8%) participants were regularly briefed on principles of laparoscopy and 21(87.5%) strongly agreed upon the need of video simulation sessions. According to 22(91.7%) participants instrument handling was the most difficult part to learn. And 17(70.8%) participants laparoscopy enhances visualization of disease process. 18(75%) participants said that it improves postoperative recovery and 20(83.3%) were of opinion that it minimizes hospital stay. 16(66.7%) residents stated it has a steep learning curve. All participants agreed that it is necessary to assist large number of procedures to attain confidence of performing laparoscopic procedures.

Conclusion: The study showed that almost all residents were in favor of the use of laparoscopic procedures rather than open surgeries.