[25 years of laparoscopic surgery in Spain].

Autor:	Moreno-Sanz C; Servicio de Cirugía General y Aparato Digestivo, Hospital General Mancha Centro, Alcázar de San Juan, Ciudad Real, España. Electronic address: cmsurgery@hotmail.com., Tenías-Burillo JM; Unidad de Apoyo a la Investigación, Hospital General Mancha Centro, Alcázar de San Juan, Ciudad Real, España., Morales-Conde S; Servicio de Cirugía General y Aparato Digestivo, Hospitales Universitarios Virgen del Rocío, Sevilla, España., Balague-Ponz C; Servicio de Cirugía General y Aparato Digestivo, Hospital Santa Creu y San Pau, Barcelona, España., Díaz-Luis H; Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario de Canarias, Tenerife, España., Enriquez-Valens P; Servicio de Cirugía General y Aparato Digestivo, Hospital General de Alicante, Alicante, España., Manuel-Palazuelos JC; Servicio de Cirugía General y Aparato Digestivo, Hospital Marqués de Valdecilla, Santander, España., Martínez-Cortijo S; Servicio de Cirugía General y Aparato Digestivo, Hospital Nuestra Señora del Prado, Talavera de la Reina, Toledo, España., Olsina-Kissler J; Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Arnau de Vilanova, Lérida, España., Socas-Macias M; Servicio de Cirugía General y Aparato Digestivo, Hospitales Universitarios Virgen del Rocío, Sevilla, España., Toledano-Trincado M; Servicio de Cirugía General y Aparato Digestivo, Hospital de Medina del Campo, Medina del Campo, Valladolid, España., Vidal-Pérez O; Servicio de Cirugía General y Aparato Digestivo, Hospital Clinic, Barcelona, España., Noguera-Aguilar JF; Servicio de Cirugía General y Aparato Digestivo, Hospital General Universitario de Valencia, Valencia, España., Salvador-Sanchís JL; Servicio de Cirugía General y Aparato Digestivo, Hospital General Universitario de Castellón, Castellón, España., Feliu-Pala X; Servicio de Cirugía General y Aparato Digestivo, Hospital de Igualada, Igualada, Barcelona, España., Targarona-Soler EM; Servicio de Cirugía General y Aparato Digestivo, Hospital Santa Creu y San Pau, Barcelona, España.
Jazyk:	Spanish; Castilian
Zdroj:	Cirugia espanola [Cir Esp] 2014 Apr; Vol. 92 (4), pp. 232-9. Date of Electronic Publication: 2014 Jan 18.
DOI:	10.1016/j.ciresp.2013.11.007
Abstrakt:	Introduction: The introduction of laparoscopic surgery (LS) can be considered the most important advancement in our specialty in the past 25 years. Despite its advantages, implementation and consolidation has not been homogenous, especially for advanced techniques. The aim of this study was to analyse the level of development and use of laparoscopic surgery in Spain at the present time and its evolution in recent years. Material and Methods: During the second half of 2012 a survey was developed to evaluate different aspects of the implementation and development of LS in our country. The survey was performed using an electronic questionnaire. Results: The global response rate was 16% and 103 heads of Department answered the survey. A total of 92% worked in the public system. A total of 99% perform basic laparoscopic surgery and 85,2% advanced LS. Most of the responders (79%) consider that the instruments they have available for LS are adequate and 71% consider that LS is in the right stage of development in their environment. Conclusions: Basic laparoscopic surgery has developed in our country to be considered the standard performed by most surgeons, and forms part of the basic surgical training of residents. With regards to advanced LS, although it is frequently used, there are still remaining areas of deficit, and therefore, opportunities for improvement. (Copyright © 2013 AEC. Published by Elsevier Espana. All rights reserved.)
Databáze:	MEDLINE
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