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ACPGBI 8-11th June 2009 Harrogate Lapco the national training programme in laparoscopic colorectal surgery

Laparoscopic cholecystectomy. Incidence and nature of bile duct injuries following laparoscopic cholecystectomy: an audit of 5913 cases. West of Scotland Laparoscopic Cholecystectomy Audit Group.Richardson MC et alBJS 1996 Oct;83(10):1356-60The rise and fall in CBD injury suggested a prolonged learning curve. .

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ACPGBI 8-11th June 2009 Harrogate Lapco the national training programme in laparoscopic colorectal surgery

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    1. ACPGBI 8-11th June 2009 Harrogate Lapco the national training programme in laparoscopic colorectal surgery Mark Coleman MD FRCS Lead Clinician, National Training Programme in Laparoscopic Colorectal Surgery

    3. Laparoscopic cholecystectomy

    4. Lap colorectal learning curve >50 right hemicolectomies >60 left sided resections

    5. National Training Programme in Laparoscopic Colorectal Surgery

    7. Pain/hospital stay

    10. ALS / ACP preceptorships The Preceptorship Programme was set up in 2004 under the auspices of the Association of Laparoscopic Surgeons of Great Britain & Ireland and the Association of Coloproctology of Great Britain & Ireland. http://www.alsgbi.org/

    11. Scotland, Wales & N Ireland

    12. Recommended alternative Surgeons trained and perform often Choice between pt and surgeon Longer op time Cost difference 265 or zero if stay reduced by 4 days No long term differences

    13. Post CCT Fellowships

    17. Enhanced Recovery Programme Alan Horgan Monty Mythen Lead Clinicians

    18. Clinical training

    19. Outreach

    20. Inreach - 1

    21. Inreach - 2

    22. Immersion course

    25. Email survey ACP full members

    28. Current UK picture

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