Teaching, learning and implementation of laparoscopic colon surgery

Robbert Jan Izaak Bosker

    Research output: ThesisThesis fully internal (DIV)

    362 Downloads (Pure)


    Laparoscopic colon surgery is still growing in popularity, due to its advantages compared to open surgery. Even in recent years, the percentage of colon procedures performed by laparoscopy increased in the Netherlands. Nevertheless, laparoscopic colon surgery is a complex procedure with specific (serious) complications. As with any new technique, safe implementation is crucial in perspective of patient safety. This thesis focuses on the teaching, learning and implementation of laparoscopic colon surgery in particular. This thesis tries to give guidance for surgeons starting a practice and for more experienced surgeons in how to teach their residents.
    First, we tried to determine consensus on the key steps of 2 specific laparoscopic procedures (laparoscopic right colectomy and laparoscopic sigmoidectomy). These key steps could provide surgeons and residents guidance before and during surgery to focus on a specific part of the procedure. Next we questioned which procedures were most suited for teaching laparoscopic colon surgery. Also, we analyzed the learning effect of residents for a specific laparoscopic procedure: laparoscopic resection of the sigmoid.
    The thesis also addresses the teaching of laparoscopic colon surgery to experienced surgeons who want to learn this procedure end implement this procedure into their practice. Finally, we investigated whether the benefits mentioned for laparoscopy over open surgery of two specific procedures (laparoscopic subtotal colectomy and laparoscopic right colectomy) could actually be reproduced in daily practice.
    Original languageEnglish
    QualificationDoctor of Philosophy
    Awarding Institution
    • University of Groningen
    • Pierie, Jean-Pierre, Supervisor
    • Ploeg, Rutger, Supervisor
    Award date20-Nov-2019
    Place of Publication[Groningen]
    Print ISBNs978-94-6323-862-5
    Publication statusPublished - 2019

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