A Successful Model for Laparoscopic Training in Mongolia

作者：Vargas Gabriela; Price Raymond R^*; Sergelen Orgoi; Lkhagvabayar Byadran; Batcholuun Pandaan; Enkhamagalan Tsiiregzen

来源：International Surgery, 2012, 97(4): 363-371.

• Developing countries
• Specialties surgical/education
• Cholecystectomy
• Laparoscopic
• Mongolia
• Cholecystectomy laparoscopic/education
• Laparoscopy/economics
• Laparoscopy/standards

The benefits of laparoscopic surgery have not been available to the majority of Mongolians. Mongolian surgical leaders requested assistance in expanding laparoscopy. A capacity-building approach for teaching laparoscopic cholecystectomy throughout Mongolia is reviewed. A laparoscopic cholecystectomy training program was developed. The program included a didactic course and an intensive 2-week practical operating experience. Courses were taught in Ulaanbataar and at 3 of the 4 regional diagnostic referral and treatment centers from 2006 to 2010. During this training period, a total of 303 teaching laparoscopic cholecystectomies were performed. There was one common bile duct injury and one duodenal injury. The conversion rate was 2.0%. This program has been successful in creating a self-sustaining practice of training. The traditional surgical approach to gallbladder disease in Mongolia has been challenged and has, in turn, been a stimulus for improvement in the medical community.

• 出版日期2012-12