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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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