Training Systems and the Learning Curve

  • Hirokazu Yamaguchi
  • Michio Kaminishi
  • Keun Won Ryu


Technique in laparoscopic surgery using long forceps, laparoscopic coagulating shears (LCS, vessel sealing systems, and so on is absolutely different from that in open surgery. The mobility of long forceps used through ports placed at the abdominal wall is limited, and so training is required at a “dry” laboratory before addressing clinical cases. Training in an animal laboratory is much better than that in a dry laboratory, but it is often difficult to access an animal laboratory. It would be ideal to have a dry laboratory in the institution, so any young doctor can access it at any time. Everyone could then be familiar with the items used for laparoscopic surgery and hone skills of required techniques such as ligation.


Laparoscopic Surgery Laparoscopic Cholecystectomy Laparoscopic Gastrectomy Good View Main Operator 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Tokunaga M, Hiki N, Fukunaga T et al (2009) Quality control and educational value of laparoscopy-assisted gastrectomy in a high-volume center. Surg Endosc 23:289–295PubMedCrossRefGoogle Scholar
  2. 2.
    Lee SI, Choi YS, Park DJ et al (2006) Comparative study of laparoscopy-assisted distal gastrectomy and open distal gastrectomy. J Am Coll Surg 202:874–880PubMedCrossRefGoogle Scholar
  3. 3.
    Kim MC, Jung GJ, Kim HH (2005) Learning curve of laparoscopy-assisted distal gastrectomy with systemic lymphadenectomy for early gastric cancer. World J Gastroenterol 11:7508–7511PubMedGoogle Scholar
  4. 4.
    Fujiwara M, Kodera Y, Miura S et al (2005) Laparoscopy-assisted distal gastrectomy with systemic lymph node dissection: a phase II study following the learning curve. J Surg Oncol 91:26–32PubMedCrossRefGoogle Scholar

Copyright information

© Springer 2012

Authors and Affiliations

  • Hirokazu Yamaguchi
    • 1
  • Michio Kaminishi
    • 1
  • Keun Won Ryu
    • 2
  1. 1.Department of SurgeryShowa General HospitalKodairaJapan
  2. 2.Gastric Cancer BranchNational Cancer CentreGoyang-siKorea

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