Technical modifications for laparoscopic cholecystectomy by the left-handed surgeon

Department of Gastrointestinal Surgery, University Hospital of Canary Islands, Santa Cruz de Tenerife, Spain.
Journal of Laparoendoscopic & Advanced Surgical Techniques (Impact Factor: 1.34). 11/2007; 17(5):679-85. DOI: 10.1089/lap.2006.176
Source: PubMed


There is a complete paucity of literature for left-handed surgeons. Some studies revealed that left-handed surgical residents have lesser operating skills and some surgeons have considered leaving surgery at some point in their career owing to laterality-related frustrations. Most important, whereas minimally invasive surgical techniques have had a profound impact on the treatment of diseased gallbladder, these procedures do not eliminate laterality related to the discomfort of left-handed surgeons. Usually, left-handed surgeons must teach themselves a procedure. They must make modifications and learn some technical tips to make a more comfortable, convenient, and safe intervention. The aim of this study was to describe some modifications made by a left-handed surgeon to perform 52 safe laparoscopic cholecystectomies with standard right-handed instruments in our hospital. These surgical steps could be used in a reproducible way to minimize the recurring difficulties of left-handed learners in a surgical residency program.

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